Organization Active NPI

Tosca Luann Black

Doing business as Hartwell Eye Associates

  • Health Service Clinic/Center
  • Hartwell, GA
National Provider Identifier
1467800722
Registry record updated May 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
OPTO988-T Issued in GA
Legal business name
TOSCA LUANN BLACK
Doing business as
Hartwell Eye Associates
Practice address
95 N Jackson St
Hartwell, GA 30643-7908
Phone
(404) 310-7359
NPI assigned
May 27, 2016
Last updated
May 27, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Tosca Luann Black
Title
Owner
Phone
(404) 310-7359

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X OPTO988-T GA Primary

Addresses

Primary practice location

95 N Jackson St
Hartwell, GA 30643-7908

Mailing address

95 N Jackson St
C/O PO Box 126
Hartwell, GA 30643
Phone (404) 310-7359

Other names 1

  • Hartwell Eye Associates Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1464307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464307200000",
    "number": "1467800722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 N JACKSON ST",
            "address_2": "C/O PO BOX 126",
            "city": "HARTWELL",
            "state": "GA",
            "postal_code": "30643",
            "telephone_number": "404-310-7359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 N JACKSON ST",
            "city": "HARTWELL",
            "state": "GA",
            "postal_code": "306437908",
            "telephone_number": "404-310-7359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOSCA LUANN BLACK",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-27",
        "last_updated": "2016-05-27",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "TOSCA",
        "authorized_official_middle_name": "LUANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-310-7359",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "GA",
            "license": "OPTO988-T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hartwell Eye Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hartwell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2016; 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.