NPIMap

Organization Active NPI

GS Eyecare Inc

  • Optometrist
  • Cleveland, GA
National Provider Identifier
1508185729
Registry record updated May 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
L20063005 Issued in GA
Legal business name
GS EYECARE INC
Practice address
897 S Main St
Cleveland, GA 30528-1458
Phone
(770) 219-3300
Fax
(770) 219-3300
NPI assigned
May 27, 2010
Organization subpart
Yes
Parent organization
GS EYECARE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 27, 2010

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

Authorized official

Name
Dr. Jason K Gabrels, OD
Title
President
Phone
(706) 219-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X L20063005 GA Primary

Addresses

Primary practice location

897 S Main St
Cleveland, GA 30528-1458

Mailing address

897 S Main St
Cleveland, GA 30528-1458
Phone (770) 219-3300

Other identifiers 2

IdentifierTypeStateIssuer
101533MedicaidGA
000873232AMedicaidGA

Other names 1

  • Eye Site of Cleveland Family Vision Other name

National Provider Directory

National Provider Directory
Tax ID family
GS Eyecare Inc2 organizations share this tax ID, including this one
Part of
GS Eyecare Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

897 S Main St
Cleveland, GA 30528
Phone (770) 219-3300

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": "1274918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274918400000",
    "number": "1508185729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "897 S MAIN ST",
            "city": "CLEVELAND",
            "state": "GA",
            "postal_code": "305281458",
            "telephone_number": "770-219-3300",
            "fax_number": "770-219-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "897 S MAIN ST",
            "city": "CLEVELAND",
            "state": "GA",
            "postal_code": "305281458",
            "telephone_number": "770-219-3300",
            "fax_number": "770-219-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GS EYECARE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GS EYECARE INC",
        "enumeration_date": "2010-05-27",
        "last_updated": "2010-05-27",
        "status": "A",
        "authorized_official_last_name": "GABRELS",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-219-3300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "L20063005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101533",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000873232A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Site of Cleveland Family Vision",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cleveland, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2010; 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.