Active NPI
Greg Tolbert
- Optician
- Rome, GA
National Provider Identifier
1609513910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- LDO001046
- Practice address
- 2110 Shorter Ave NW
Rome, GA 30165-2018 - Phone
- (706) 291-7842
- NPI assigned
- May 18, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | LDO001046 | GA | Primary |
Addresses
Primary practice location
2110 Shorter Ave NW
Rome, GA 30165-2018
Mailing address
2110 Shorter Ave NW
Rome, GA 30165-2018
Phone (706) 291-7842
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LDO001046 | GA | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tolbert Eye Center | Optician | Current | Accepting new patients |
Locations
2110 Shorter Ave NW
Rome, GA 30165
Phone (706) 290-0098
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optician
- Rome, GA
- NPI 1679210983
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652832000000",
"number": "1609513910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2110 SHORTER AVE NW",
"city": "ROME",
"state": "GA",
"postal_code": "301652018",
"telephone_number": "706-291-7842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2110 SHORTER AVE NW",
"city": "ROME",
"state": "GA",
"postal_code": "301652018",
"telephone_number": "706-291-7842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOLBERT",
"first_name": "GREG",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-05-18",
"last_updated": "2022-05-18",
"certification_date": "2022-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "GA",
"license": "LDO001046",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rome, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.