Organization Active NPI

Downtown Opticians, Inc

  • Optician
  • Macon, GA
National Provider Identifier
1407992977
Registry record updated Mar 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
LDO001314 Issued in GA
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

Updated by the provider on Mar 13, 2012

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)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.