NPIMap

Organization Active NPI

North Georgia Eye Care LLC

  • Optician
  • Winder, GA
National Provider Identifier
1568513489
Registry record updated May 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
LDO001728 Issued in GA
Legal business name
NORTH GEORGIA EYE CARE LLC
Practice address
72 W Candler St
Winder, GA 30680-2557
Phone
(770) 867-1913
Fax
(770) 867-2359
NPI assigned
Jan 16, 2007
Last updated
May 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2008

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

Authorized official

Name
Mrs. Marcie Karen Fambrough, LDO
Title
Owner Office Manager
Phone
(706) 340-2781

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X LDO001728 GA Primary

Addresses

Primary practice location

72 W Candler St
Winder, GA 30680-2557

Mailing address

72 W Candler St
Winder, GA 30680-2557
Phone (770) 867-1913

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 12

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": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210636800000",
    "number": "1568513489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 W CANDLER ST",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306802557",
            "telephone_number": "770-867-1913",
            "fax_number": "770-867-2359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 W CANDLER ST",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306802557",
            "telephone_number": "770-867-1913",
            "fax_number": "770-867-2359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH GEORGIA EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2008-05-13",
        "status": "A",
        "authorized_official_last_name": "FAMBROUGH",
        "authorized_official_first_name": "MARCIE",
        "authorized_official_middle_name": "KAREN",
        "authorized_official_title_or_position": "OWNER OFFICE MANAGER",
        "authorized_official_telephone_number": "706-340-2781",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LDO"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "GA",
            "license": "LDO001728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winder, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; 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.