Organization Active NPI

North Macon Eyecare

  • Optician
  • Macon, GA
National Provider Identifier
1619090354
Registry record updated Mar 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
1816 Issued in GA
Legal business name
NORTH MACON EYECARE
Doing business as
Brown's Eye Center
Practice address
4445 Forsyth Rd
Macon, GA 31210-4525
Phone
(478) 757-8600
NPI assigned
Apr 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2010

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

Authorized official

Name
Mr. S Gregg Fitzgibbons, L.D.O
Title
President
Phone
(478) 757-7600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X 1816 GA Primary

Addresses

Primary practice location

4445 Forsyth Rd
Macon, GA 31210-4525

Mailing address

4445 Forsyth Rd
Macon, GA 31210-4525
Phone (478) 757-8600

Other names 1

  • Brown's Eye Center Doing business as

National Provider Directory

National Provider Directory

Locations

4445 Forsyth Rd
Macon, GA 31210
Phone (478) 757-8600

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267488000000",
    "number": "1619090354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4445 FORSYTH RD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312104525",
            "telephone_number": "478-757-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4445 FORSYTH RD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312104525",
            "telephone_number": "478-757-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH MACON EYECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2010-03-02",
        "status": "A",
        "authorized_official_last_name": "FITZGIBBONS",
        "authorized_official_first_name": "S",
        "authorized_official_middle_name": "GREGG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "478-757-7600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.D.O"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "GA",
            "license": "1816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brown's Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2010; 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.