Vision Eye Group Optical

Primary specialty

OpticianTaxonomy code 156FX1800X

License

764 Issued in GA

Legal business name

VISION EYE GROUP OPTICAL

Doing business as

First Look Opticians

Practice address

4050 Riverside Dr
Macon, GA 31210-1805

Phone

(478) 743-2636

Fax

(478) 743-3235

NPI assigned

Jan 11, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Susan Simonton Payne, L.D.O.

Title

Manager

Phone

(478) 743-2636

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• First Look Opticians Doing business as
• First Look Opticians Inc Former legal business name

Practitioners 4

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

• James Stephen Ellis, M.D.

  • Ophthalmology Physician
  • Macon, GA
  • NPI 1962435800
  NPD
• Jeffery C. Hinson Jr., MD.

  • Ophthalmology Physician
  • Macon, GA
  • NPI 1285895227
  NPD
• William H Jarrard Jr., M.D.

  • Ophthalmology Physician
  • Macon, GA
  • NPI 1508884107
  NPD
• Kinsey Watkins

  • Optometrist
  • Macon, GA
  • NPI 1194216804
  NPD

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675641600000",
    "number": "1578613659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4050 RIVERSIDE DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101805",
            "telephone_number": "478-743-2636",
            "fax_number": "478-743-3235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 RIVERSIDE DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101805",
            "telephone_number": "478-743-2636",
            "fax_number": "478-743-3235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION EYE GROUP OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "SIMONTON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "478-743-2636",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "L.D.O."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "GA",
            "license": "764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00139961A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Look Opticians",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "First Look Opticians Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Optician in Macon, GA
• Providers in Macon, GA by specialty
• Optician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; 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.