Eye Doctors Center, P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1184 Issued in GA

Legal business name

EYE DOCTORS CENTER, P.C.

Practice address

210 S 16TH St
Griffin, GA 30224-2663

Phone

(770) 229-8700

NPI assigned

Dec 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. James Jeffrey Clark, O.DNPI 1891859682

Title

Optometrist

Phone

(770) 229-8700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Jeffrey Clark, O.D.

  • Optometrist
  • Griffin, GA
  • NPI 1891859682
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369612800000",
    "number": "1568528537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 S 16TH ST",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302242663",
            "telephone_number": "770-229-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S 16TH ST",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302242663",
            "telephone_number": "770-229-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE DOCTORS CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2013-05-27",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "JEFFREY",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "770-229-8700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "1184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alanna Marie Evans-Gasses, PA
• Bennie Cleaveland Evans, DDS
• Evernorth Direct Health LLC
• Expressions Speech Services, LLC
• Roselanda Exulus
• Adesola Omotayo Fabayo, M.D.
• Roya Marie Fadina, RN
• Anastasiya Fadyeyeva
• Aaron Wayne Feaster, D.O.
• Eric D Ferrara, DDS

• Optometrist in Griffin, GA
• Providers in Griffin, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.