Active NPI
North Macon Eyecare
- Optician
- Macon, GA
National Provider Identifier
1619090354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 1816
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 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
National Provider Directory
National Provider DirectoryLocations
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.