Kay Royal, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT001460 Issued in GA

Practice address

58 E Doyle St
Toccoa, GA 30577-3009

Phone

(706) 886-5214

Fax

(706) 282-1451

NPI assigned

Apr 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Moderneyes Vision Care, LLC

  • Optometrist
  • Toccoa, GA
  • NPI 1891433132
  NPD

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233792000000",
    "number": "1619931573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 E DOYLE ST",
            "city": "TOCCOA",
            "state": "GA",
            "postal_code": "305773009",
            "telephone_number": "706-886-5214",
            "fax_number": "706-282-1451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 E DOYLE ST",
            "city": "TOCCOA",
            "state": "GA",
            "postal_code": "305773009",
            "telephone_number": "706-886-5214",
            "fax_number": "706-282-1451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROYAL",
        "first_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-17",
        "last_updated": "2009-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT001460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000626216B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DAG980",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cecil Emmette Reno Jr., PHARMD
• Rescare in Home Care
• Jonathan Riley, PHARM.D.
• Penny Laine Roberson, RN
• Robert B Raybon Et Al PTR
• Stephanie Jeanne Ruccio, PT
• Sanders Drugs LLC
• Sanders Drugs LLC
• Kenneth G Schneider, O.D.
• Linda Mary Scott, C-FNP

• Optometrist in Toccoa, GA
• Providers in Toccoa, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2009; 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.