Active NPI
Downtown Opticians, Inc
- Optician
- Macon, GA
National Provider Identifier
1407992977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- LDO001314
- Legal business name
- DOWNTOWN OPTICIANS, INC
- Practice address
- 3933 Bloomfield Rd
Macon, GA 31206-3615 - Phone
- (478) 405-5150
- Fax
- (478) 746-9865
- NPI assigned
- Jan 30, 2007
- 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
- Paul David Willis, LDO
- Title
- Owner
- Phone
- (478) 405-5150
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | LDO001314 | GA | Primary |
Addresses
Primary practice location
3933 Bloomfield Rd
Macon, GA 31206-3615
Mailing address
3933 Bloomfield Rd
Macon, GA 31206-3615
Phone (478) 405-5150
National Provider Directory
National Provider DirectoryLocations
3780 Northside Dr
Ste 160
Macon, GA 31210
3933 Bloomfield Rd
Macon, GA 31206
Phone (478) 405-5150
1376 Gray Hwy
Macon, GA 31211
Phone (478) 743-6006
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optician
- Macon, GA
- NPI 1891951703
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1331596800000",
"number": "1407992977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3933 BLOOMFIELD RD",
"city": "MACON",
"state": "GA",
"postal_code": "312063615",
"telephone_number": "478-405-5150",
"fax_number": "478-746-9865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3933 BLOOMFIELD RD",
"city": "MACON",
"state": "GA",
"postal_code": "312063615",
"telephone_number": "478-405-5150",
"fax_number": "478-746-9865"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOWNTOWN OPTICIANS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-30",
"last_updated": "2012-03-13",
"status": "A",
"authorized_official_last_name": "WILLIS",
"authorized_official_first_name": "PAUL",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "478-405-5150",
"authorized_official_credential": "LDO"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician/Technologist, Optician",
"state": "GA",
"license": "LDO001314",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.