Active NPI
Sight for Sore Eyes
- Optometrist
- Macon, GA
National Provider Identifier
1558407072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT001317
- Legal business name
- SIGHT FOR SORE EYES
- Practice address
- 3131 Pio Nono Ave
Macon, GA 31206-3027 - Phone
- (478) 781-4310
- Fax
- (478) 746-9865
- NPI assigned
- Jan 30, 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
- Roney Vincent Crews, OD
- Title
- Owner
- Phone
- (478) 781-4310
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT001317 | GA | Primary |
Addresses
Primary practice location
3131 Pio Nono Ave
Macon, GA 31206-3027
Mailing address
3131 Pio Nono Ave
Macon, GA 31206-3027
Phone (478) 781-4310
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000520627B | Medicaid | GA |
National Provider Directory
National Provider DirectoryLocations
3131 Pio Nono Ave
Macon, GA 31206
Phone (478) 781-2818
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Optician
- Griffin, GA
- NPI 1790821270
-
- Optometrist
- Macon, GA
- NPI 1700922242
-
- Optician
- Macon, GA
- NPI 1952447468
-
- Optician
- Macon, GA
- NPI 1114959376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1331596800000",
"number": "1558407072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3131 PIO NONO AVE",
"city": "MACON",
"state": "GA",
"postal_code": "312063027",
"telephone_number": "478-781-4310",
"fax_number": "478-746-9865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3131 PIO NONO AVE",
"city": "MACON",
"state": "GA",
"postal_code": "312063027",
"telephone_number": "478-781-4310",
"fax_number": "478-746-9865"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIGHT FOR SORE EYES",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-30",
"last_updated": "2012-03-13",
"status": "A",
"authorized_official_last_name": "CREWS",
"authorized_official_first_name": "RONEY",
"authorized_official_middle_name": "VINCENT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "478-781-4310",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "GA",
"license": "OPT001317",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000520627B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.