NPIMap

Organization Active NPI

Michael J Garner OD PC

  • Optometrist
  • Tifton, GA
National Provider Identifier
1508047408
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
816 Issued in GA
Legal business name
MICHAEL J GARNER OD PC
Practice address
1830 Hwy 82 W
Tifton, GA 31793-8164
Phone
(229) 387-8863
NPI assigned
Nov 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Michael J Garner, ODNPI 1013977727
Title
Optometrist
Phone
(229) 387-8863

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 816 GA Primary

Addresses

Primary practice location

1830 Hwy 82 W
Tifton, GA 31793-8164

Mailing address

PO Box 72444
Albany, GA 31708-2444
Phone (229) 387-8863

Other identifiers 1

IdentifierTypeStateIssuer
52157678-003OtherGABCBS OF GA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1195430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1508047408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 72444",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317082444",
            "telephone_number": "229-387-8863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 HWY 82 W",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317938164",
            "telephone_number": "229-387-8863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J GARNER OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-19",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "GARNER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "229-387-8863",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF GA",
            "identifier": "52157678-003",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tifton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.