Pickens Eye Clinic

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

Legal business name

PICKENS EYE CLINIC

Practice address

360 W Church St
Jasper, GA 30143-1400

Phone

(706) 692-2878

Fax

(706) 692-2879

NPI assigned

Feb 19, 2007

Organization subpart

No

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

Authorized official

Name

Pat Black

Title

Insurance Manager

Phone

(706) 692-2878

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maria Bencsath, OD

  • Corneal and Contact Management Optometrist
  • Jasper, GA
  • NPI 1619010832
  NPD (past)
• Diane Bruce, OD

  • Corneal and Contact Management Optometrist
  • Jesup, GA
  • NPI 1114060308
  NPD (past)
• Carlos M Llabres, O.D.

  • Optometrist
  • McDonough, GA
  • NPI 1194750265
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1508900879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 W CHURCH ST",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301431400",
            "telephone_number": "706-692-2878",
            "fax_number": "706-692-2879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 W CHURCH ST",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301431400",
            "telephone_number": "706-692-2878",
            "fax_number": "706-692-2879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PICKENS EYE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-19",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "PAT",
        "authorized_official_title_or_position": "INSURANCE MANAGER",
        "authorized_official_telephone_number": "706-692-2878"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawren Meshell Perry
• Pickens County Board of Education
• Pickens County Chiropractic
• Pickens County Department of Public Health
• Pickens County Government
• Pickens Family Eye Care
• Pickens Primary Care LLC
• Pickens Urgent Care LLC
• Pickens Urgent Care LLC
• Piedmont Mountainside Hospital, Inc

• Corneal and Contact Management Optometrist in Jasper, GA
• Providers in Jasper, GA by specialty
• Corneal and Contact Management Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.