Active NPI
MC DO Optometry LLC
- Optometrist
- Calhoun, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- MC DO OPTOMETRY LLC
- Doing business as
- Walmart Health
- Practice address
- 448 West Belmont Drive
Calhoun, GA 30701-3016 - Phone
- (762) 204-6428
- Fax
- (706) 692-8121
- NPI assigned
- Oct 21, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael DO
- Title
- President
- Phone
- (762) 204-6428
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
448 West Belmont Drive
Calhoun, GA 30701-3016
Mailing address
702 SW 8TH St
Bentonville, AR 72716-6209
Phone (479) 204-1258
Other practice location 1
101 Market Place Blvd Ste B
Cartersville, GA 30121-2236
Phone (470) 490-8172
Other names 1
- Walmart Health
National Provider Directory
National Provider DirectoryLocations
101 Market Place Blvd
Ste B
Cartersville, GA 30121
Phone (470) 490-8170
137 Willow LN
McDonough, GA 30253
Phone (470) 483-0409
2042 W Spring St
Monroe, GA 30655
Phone (770) 266-5746
6435 Bells Ferry Rd
Ste 110
Woodstock, GA 30189
Phone (770) 928-0574
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Little Rock, AR
- NPI 1134567274
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571616000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1638835200000",
"number": "1396388542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "702 SW 8TH ST",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727166209",
"telephone_number": "479-204-1258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "448 WEST BELMONT DRIVE",
"city": "CALHOUN",
"state": "GA",
"postal_code": "307013016",
"telephone_number": "762-204-6428",
"fax_number": "706-692-8121"
}
],
"practiceLocations": [
{
"address_1": "101 Market Place Blvd Ste B",
"address_purpose": "LOCATION",
"city": "Cartersville",
"state": "GA",
"postal_code": "301212236",
"country_code": "US",
"telephone_number": "470-490-8172",
"fax_number": "770-607-5181",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MC DO OPTOMETRY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-21",
"last_updated": "2021-12-07",
"certification_date": "2021-12-07",
"status": "A",
"authorized_official_last_name": "DO",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "762-204-6428"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Walmart Health",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Walmart Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Calhoun, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.