The Optical Shop of Thomaston LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

THE OPTICAL SHOP OF THOMASTON LLC

Practice address

1315 Highway 19 N
Thomaston, GA 30286-2209

Phone

(706) 741-2609

NPI assigned

Dec 6, 2018

Organization subpart

No

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

Authorized official

Name

Shana Leigh Bailey, LDO

Title

Co- Owner

Phone

(706) 741-2609

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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.

• Shana Bailey Koehler, LDO

  • Optician
  • McDonough, GA
  • NPI 1588135305
  NPD (past)

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

{
    "created_epoch": "1544054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544054400000",
    "number": "1588135206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 HIGHWAY 19 N",
            "city": "THOMASTON",
            "state": "GA",
            "postal_code": "302862209",
            "telephone_number": "706-741-2609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 HIGHWAY 19 N",
            "city": "THOMASTON",
            "state": "GA",
            "postal_code": "302862209",
            "telephone_number": "706-741-2609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE OPTICAL SHOP OF THOMASTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-06",
        "last_updated": "2018-12-06",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "SHANA",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "CO- OWNER",
        "authorized_official_telephone_number": "706-741-2609",
        "authorized_official_credential": "LDO"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey W Sundeen, CNM/WHNP
• Kacie J. Swain, PA
• Rachael L Sweeney, NP-BC
• Sandra Tawfik
• The Hemlock Pain Center, LLC
• Thomas M. Kretzmer
• Thomaston Ear, Nose and Throat Inc.
• Thomaston Family Practice LLC
• Thomaston Hospice, Inc.
• Thomaston Internal Medicine,L.L.C.

• Eyewear Supplier in Thomaston, GA
• Providers in Thomaston, GA by specialty
• Eyewear Supplier in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2018; 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.