Individual provider Active NPI

George Alexander Garrett, O.D.

  • Optometrist
  • Hamilton, GA
National Provider Identifier
1609952589
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
943-T Issued in GA
Practice address
121 Dogwood Lane
Hamilton, GA 31811-0589
Phone
(706) 628-5720
Fax
(706) 884-2804
NPI assigned
Oct 31, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 943-T GA Primary
Optometrist 152W00000X S-466 AL

Addresses

Primary practice location

121 Dogwood Lane
Hamilton, GA 31811-0589

Mailing address

PO Box 589
Hamilton, GA 31811-0589
Phone (706) 628-5720

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100407000583 AL Practitioner - Optometry 6608902267 Practice locations: Valley, AL
I20100407000699 GA Practitioner - Optometry 6608902267 Practice locations: Hamilton, GA; Lagrange, GA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
943-TGAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vision World Inc Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609952589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 589",
            "city": "HAMILTON",
            "state": "GA",
            "postal_code": "318110589",
            "telephone_number": "706-628-5720",
            "fax_number": "706-884-2804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 DOGWOOD LANE",
            "city": "HAMILTON",
            "state": "GA",
            "postal_code": "318110589",
            "telephone_number": "706-628-5720",
            "fax_number": "706-884-2804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRETT",
        "first_name": "GEORGE",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "943-T",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-466",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, GA

Sources for this page

Verify at the official NPI Registry.