Active NPI
Kurtz Enterprise Holdings LLC
- Optometrist
- Leesburg, GA
National Provider Identifier
1467830679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- KURTZ ENTERPRISE HOLDINGS LLC
- Practice address
- 130 Hawkstead Dr
Leesburg, GA 31763-5347 - Phone
- (706) 718-9785
- NPI assigned
- May 8, 2015
- Last updated
- May 8, 2015
- 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
- Brian Kurtz, OD
- Title
- Owner
- Phone
- (706) 718-9785
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | NU | Primary |
Addresses
Primary practice location
130 Hawkstead Dr
Leesburg, GA 31763-5347
Mailing address
130 Hawkstead Dr
Leesburg, GA 31763-5347
Phone (706) 718-9785
National Provider Directory
National Provider DirectoryLocations
349 Geneva Rd
Buena Vista, GA 31803
Phone (229) 649-2331
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1431043200000",
"number": "1467830679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 HAWKSTEAD DR",
"city": "LEESBURG",
"state": "GA",
"postal_code": "317635347",
"telephone_number": "706-718-9785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 HAWKSTEAD DR",
"city": "LEESBURG",
"state": "GA",
"postal_code": "317635347",
"telephone_number": "706-718-9785"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KURTZ ENTERPRISE HOLDINGS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-08",
"last_updated": "2015-05-08",
"status": "A",
"authorized_official_last_name": "KURTZ",
"authorized_official_first_name": "BRIAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "706-718-9785",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leesburg, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.