Organization Active NPI

North Georgia Eye Clinic, PC

  • Ophthalmic Technician/Technologist
  • Gainesville, GA
National Provider Identifier
1497882500
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Technician/TechnologistTaxonomy code 156FX1100X
Legal business name
NORTH GEORGIA EYE CLINIC, PC
Practice address
1485 Jesse Jewell Parkway NE
Suite 100
Gainesville, GA 30501-3806
Phone
(770) 534-1711
Fax
(770) 534-9158
NPI assigned
Feb 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2021

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

Authorized official

Name
Dr. Larry J Payne, M.D.
Title
President
Phone
(770) 534-1711

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X
Low Vision Rehabilitation OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152WL0500X
Contact Lens Technician/TechnologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 156FC0800X
Ophthalmic Technician/TechnologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 156FX1100X Primary
OpticianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 156FX1800X
OrthoptistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 156FX1900X
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207W00000X

Addresses

Primary practice location

1485 Jesse Jewell Parkway NE
Suite 100
Gainesville, GA 30501-3806

Mailing address

1485 Jesse Jewell Parkway NE
Suite 100
Gainesville, GA 30501-3806
Phone (770) 534-1711

National Provider Directory

National Provider Directory

Locations

5670 Old Winder Hwy
Ste 201
Braselton, GA 30517
Phone (770) 532-4444

1605 Buford Hwy
Ste H
Buford, GA 30518
Phone (404) 945-2817

733 N Main St
Clayton, GA 30525

210 Hudson St
Cumming, GA 30040
Phone (770) 887-9171

3275 Market Place Blvd
Ste 100
Cumming, GA 30041
Phone (770) 292-1900

535 Jesse Jewell Pkwy SE
Ste C
Gainesville, GA 30501
Phone (770) 531-9014

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": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635206400000",
    "number": "1497882500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1485 JESSE JEWELL PARKWAY NE",
            "address_2": "SUITE 100",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013806",
            "telephone_number": "770-534-1711",
            "fax_number": "770-534-9158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 JESSE JEWELL PARKWAY NE",
            "address_2": "SUITE 100",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013806",
            "telephone_number": "770-534-1711",
            "fax_number": "770-534-9158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH GEORGIA EYE CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2021-10-26",
        "certification_date": "2021-06-14",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-534-1711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "156FC0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician/Technologist, Contact Lens",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1100X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician/Technologist, Ophthalmic",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician/Technologist, Orthoptist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; 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.