Active NPI
John Trafton Fleetwood, Jr., O.D.
- Optometrist
- Savannah, GA
National Provider Identifier
1457445116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT000929
- Practice address
- Savannah Mall
7400 Abercorn Ste 807-809
Savannah, GA 31419-1957 - Phone
- (912) 352-0600
- Fax
- (912) 355-1886
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT000929 | GA | Primary |
Addresses
Primary practice location
Savannah Mall
7400 Abercorn Ste 807-809
Savannah, GA 31419-1957
Mailing address
244 E 64TH St
Savannah, GA 31405-5305
Phone (912) 691-0459
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT000929 | GA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457445116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "244 E 64TH ST",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314055305",
"telephone_number": "912-691-0459",
"fax_number": "912-355-1886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SAVANNAH MALL",
"address_2": "7400 ABERCORN STE 807-809",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314191957",
"telephone_number": "912-352-0600",
"fax_number": "912-355-1886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLEETWOOD, JR.",
"first_name": "JOHN",
"middle_name": "TRAFTON",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "OPT000929",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.