Organization Active NPI

Sight for Sore Eyes

  • Optometrist
  • Macon, GA
National Provider Identifier
1558407072
Registry record updated Mar 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT001317 Issued in GA
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

Updated by the provider on Mar 13, 2012

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
000520627BMedicaidGA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.