Active NPI
Eric Teal Kinard, O.D.
- Corneal and Contact Management Optometrist
- Athens, GA
National Provider Identifier
1407836638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corneal and Contact Management Optometrist
- License
- 933
- Practice address
- 1137 Cedar Shoals Dr
Athens, GA 30605-3592 - Phone
- (706) 353-2119
- NPI assigned
- Jan 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | 933 | GA | Primary |
Addresses
Primary practice location
1137 Cedar Shoals Dr
Athens, GA 30605-3592
Mailing address
1137 Cedar Shoals Dr
Athens, GA 30605-3592
Phone (706) 353-2119
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1234960001 | Other | GA | MEDICARE DMERC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 933 | GA | MD | Corneal and Contact Management Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eric T. Kinard, O.D., P.C. | Past | Accepting new patients | |
| North Georgia Eye Care LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Athens, GA
- NPI 1720105273
-
- Optician
- Winder, GA
- NPI 1568513489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206057600000",
"number": "1407836638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1137 CEDAR SHOALS DR",
"city": "ATHENS",
"state": "GA",
"postal_code": "306053592",
"telephone_number": "706-353-2119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1137 CEDAR SHOALS DR",
"city": "ATHENS",
"state": "GA",
"postal_code": "306053592",
"telephone_number": "706-353-2119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINARD",
"first_name": "ERIC",
"middle_name": "TEAL",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-23",
"last_updated": "2008-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "GA",
"license": "933",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE DMERC",
"identifier": "1234960001",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.