City Optical Inc

Primary specialty

OpticianTaxonomy code 156FX1800X

License

GA1410 Issued in GA

Legal business name

CITY OPTICAL INC

Practice address

211 Love Ave
Tifton, GA 31794-4453

Phone

(229) 382-9751

Fax

(229) 382-9775

NPI assigned

Mar 17, 2007

Organization subpart

No

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

Authorized official

Name

Mr. John T Hall Jr., L.D.O.

Title

President Co Owner

Phone

(229) 382-9751

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Anna Makenzie Baker, O.D.

  • Optometrist
  • Tifton, GA
  • NPI 1972987394
  NPD (past)

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

{
    "created_epoch": "1174089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1588788418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 LOVE AVE",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317944453",
            "telephone_number": "229-382-9751",
            "fax_number": "229-382-9775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 LOVE AVE",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317944453",
            "telephone_number": "229-382-9751",
            "fax_number": "229-382-9775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT CO OWNER",
        "authorized_official_telephone_number": "229-382-9751",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "L.D.O."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "GA",
            "license": "GA1410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Cheever, FNP
• Lacey Hester Childree, NP
• Kristi Childs, AGNP
• Norma Ann Chin, LMFT
• Sahithi Chittamuri, MD
• Lesley A Clack, LPC
• Kara Clark
• Timothy L Clark, DO
• CLB Pharmacy Group LLC (Friendly City Pharmacy on 2nd LTC)
• CLB Pharmacy Group LLC (Friendly City Pharmacy on 2nd)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.