Organization Active NPI

Franklin County Eye Care

  • Optometrist
  • Lavonia, GA
National Provider Identifier
1487928701
Registry record updated Jan 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
GA1577 Issued in GA
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, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 24, 2017

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
000743003DMedicaidGA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120806000705 GA DME Supplier - Physician - Optometrist 6002070042 Practice locations: Lavonia, GA

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Franklin County Eye Care13375 Jones St, Lavonia, GA 30553-1147(706) 356-0206 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since May 1, 2012

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.

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.

Verify at the official NPI Registry.