Eyes on Pooler, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2751 Issued in GA

Legal business name

EYES ON POOLER, LLC

Practice address

160 Pooler Pkwy
Pooler, GA 31322-4200

Phone

(912) 748-9597

Fax

(912) 748-9551

NPI assigned

Feb 3, 2014

Organization subpart

No

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

Authorized official

Name

Laura Belka, OD

Title

Owner

Phone

(912) 748-9597

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1391385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391385600000",
    "number": "1477976017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 PICKET ROW",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314102527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 POOLER PKWY",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313224200",
            "telephone_number": "912-748-9597",
            "fax_number": "912-748-9551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYES ON POOLER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-03",
        "last_updated": "2014-02-03",
        "status": "A",
        "authorized_official_last_name": "BELKA",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-748-9597",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "2751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wesley Don Ensley, MD
• Lindsay Erickson, RNFA
• Leanne Estrada, PT
• Nicole Ethridge, M.S., CCC-SLP
• Eye Pros
• F Christopher Pettigrew MD PC
• Lance Copeland Faglie, PHARM.D.
• Family Medicine of Pooler, LLC
• Family Solutions for Alternative Passionate Care, LLC
• Lindsey N Farrell

• Optometrist in Pooler, GA
• Providers in Pooler, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2014; 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.