NPIMap

Organization Active NPI

Tift Eye Care, LLC

  • Eyewear Supplier
  • Tifton, GA
National Provider Identifier
1548651920
Registry record updated Feb 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
LDO002502 Issued in GA
Legal business name
TIFT EYE CARE, LLC
Practice address
363 Main St S
Tifton, GA 31794-4813
Phone
(229) 382-4441
Fax
(229) 386-0211
NPI assigned
Feb 6, 2015
Last updated
Feb 6, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2015

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

Authorized official

Name
Alta M Lebeck, LDONPI 1093128050
Title
Manager
Phone
(229) 382-4441

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X LDO002502 GA Primary

Addresses

Primary practice location

363 Main St S
Tifton, GA 31794-4813

Mailing address

363 Main St S
Tifton, GA 31794-4813
Phone (229) 382-4441

National Provider Directory

National Provider Directory

Locations

363 Main St S
Tifton, GA 31794
Phone (229) 382-4441

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1423180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423180800000",
    "number": "1548651920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 MAIN ST S",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317944813",
            "telephone_number": "229-382-4441",
            "fax_number": "229-386-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 MAIN ST S",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317944813",
            "telephone_number": "229-382-4441",
            "fax_number": "229-386-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIFT EYE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-06",
        "last_updated": "2015-02-06",
        "status": "A",
        "authorized_official_last_name": "LEBECK",
        "authorized_official_first_name": "ALTA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "229-382-4441",
        "authorized_official_credential": "LDO"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "GA",
            "license": "LDO002502",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 6, 2015; 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.