Organization Active NPI

Rome Eye Care

  • Durable Medical Equipment & Medical Supplies
  • Rome, GA
National Provider Identifier
1477672780
Registry record updated Jan 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
GA 963 Issued in GA
Legal business name
ROME EYE CARE
Practice address
1102 Martha Berry Blvd NE
Rome, GA 30165-1612
Phone
(706) 291-4642
Fax
(706) 291-9644
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2008

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

Authorized official

Name
Dr. Doug V Reeves, O.D.NPI 1821140260
Title
Owner
Phone
(706) 291-4642

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X GA 963 GA Primary

Addresses

Primary practice location

1102 Martha Berry Blvd NE
Rome, GA 30165-1612

Mailing address

1102 Martha Berry Blvd NE
Rome, GA 30165-1612
Phone (706) 291-4642

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111208000053 GA Part B Supplier - Clinic/Group Practice 6305011008 Receives reassigned benefits from 1 practitioner
Practice locations: Rome, GA; Summerville, GA

National Provider Directory

National Provider Directory

Locations

109 John Maddox Dr NW
Ste 240
Rome, GA 30165
Phone (706) 291-4642

1102 Martha Berry Blvd NE
Rome, GA 30165
Phone (706) 291-4642

Practitioners & affiliated clinicians

Practitioners 4

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": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200268800000",
    "number": "1477672780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 MARTHA BERRY BLVD NE",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651612",
            "telephone_number": "706-291-4642",
            "fax_number": "706-291-9644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 MARTHA BERRY BLVD NE",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651612",
            "telephone_number": "706-291-4642",
            "fax_number": "706-291-9644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROME EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2008-01-14",
        "status": "A",
        "authorized_official_last_name": "REEVES",
        "authorized_official_first_name": "DOUG",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-291-4642",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "GA 963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.