Active NPI
Franklin County Eye Care
- Optometrist
- Lavonia, GA
National Provider Identifier
1487928701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- GA1577
- Legal business name
- FRANKLIN COUNTY EYE CARE
- Practice address
- 13375 Jones St
Suite B-2
Lavonia, GA 30553-1147 - Phone
- (706) 356-0206
- Fax
- (706) 356-0346
- NPI assigned
- Mar 5, 2012
- Organization subpart
- Yes
- Parent organization
- STEPHENS COUNTY EYE CLINIC, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kevin Rick Vanderhoef, O.D.
- Title
- Owner
- Phone
- (706) 356-0206
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | GA1577 | GA | Primary |
Addresses
Primary practice location
13375 Jones St
Suite B-2
Lavonia, GA 30553-1147
Mailing address
13375 Jones St
Suite B-2
Lavonia, GA 30553-1147
Phone (706) 356-0206
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000743003D | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120806000705 | GA | DME Supplier - Physician - Optometrist | 6002070042 | Practice locations: Lavonia, GA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Franklin County Eye Care | Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses | Accepts assignment |
National Provider Directory
National Provider Directory- Part of
- Stephens County Eye Clinc
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Optometrist
- Toccoa, GA
- NPI 1336326503
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330905600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1485216000000",
"number": "1487928701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13375 JONES ST",
"address_2": "SUITE B-2",
"city": "LAVONIA",
"state": "GA",
"postal_code": "305531147",
"telephone_number": "706-356-0206",
"fax_number": "706-356-0346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13375 JONES ST",
"address_2": "SUITE B-2",
"city": "LAVONIA",
"state": "GA",
"postal_code": "305531147",
"telephone_number": "706-356-0206",
"fax_number": "706-356-0346"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRANKLIN COUNTY EYE CARE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "STEPHENS COUNTY EYE CLINIC, INC",
"enumeration_date": "2012-03-05",
"last_updated": "2017-01-24",
"status": "A",
"authorized_official_last_name": "VANDERHOEF",
"authorized_official_first_name": "KEVIN",
"authorized_official_middle_name": "RICK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "706-356-0206",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "GA",
"license": "GA1577",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000743003D",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lavonia, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.