Active NPI
Eyecare Associates, P.C.
- Optometrist
- Gainesville, GA
National Provider Identifier
1508916701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- EYECARE ASSOCIATES, P.C.
- Practice address
- 1276 Jesse Jewell Pkwy SE
Gainesville, GA 30501-3823 - Phone
- (770) 532-7246
- Fax
- (770) 532-2683
- NPI assigned
- Jan 11, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jody L Whisenant, O.D.
- Title
- Secretary-Treasurer
- Phone
- (770) 532-7246
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary | ||
| Corneal and Contact Management Optometrist | 152WC0802X | |||
| Occupational Vision Optometrist | 152WX0102X |
Addresses
Primary practice location
1276 Jesse Jewell Pkwy SE
Gainesville, GA 30501-3823
Mailing address
1276 Jesse Jewell Pkwy SE
Gainesville, GA 30501-3823
Phone (770) 532-7246
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3003386 | Other | GA | BCBS |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1346025600000",
"number": "1508916701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1276 JESSE JEWELL PKWY SE",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305013823",
"telephone_number": "770-532-7246",
"fax_number": "770-532-2683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1276 JESSE JEWELL PKWY SE",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305013823",
"telephone_number": "770-532-7246",
"fax_number": "770-532-2683"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EYECARE ASSOCIATES, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-11",
"last_updated": "2012-08-27",
"status": "A",
"authorized_official_last_name": "WHISENANT",
"authorized_official_first_name": "JODY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "SECRETARY-TREASURER",
"authorized_official_telephone_number": "770-532-7246",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist, Corneal and Contact Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "152WX0102X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist, Occupational Vision",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "3003386",
"state": "GA"
}
],
"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 Aug 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.