Individual provider Active NPI

Paige Bush Foster, O.D.

  • Optometrist
  • Conyers, GA
National Provider Identifier
1629163928
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
001656 Issued in GA
Practice address
1013 East Freeway Drive
Conyers, GA 30094
Phone
(770) 922-7906
Fax
(770) 483-0498
NPI assigned
Oct 3, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 001656 GA Primary

Addresses

Primary practice location

1013 East Freeway Drive
Conyers, GA 30094

Mailing address

1013 East Freeway Drive
Conyers, GA 30094
Phone (770) 922-7906

Other identifiers 7

IdentifierTypeStateIssuer
3179543OtherGAAETNA HMO
33529OtherGAAVESIS
GA0796OtherGAEYEMED
P00033636OtherGAAETNA PPO
P00033636OtherGARAILROAD MEDICARE
0007600451OtherGAAETNA PPO
727817OtherGABCBSGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20101207000319 GA Practitioner - Optometry 8123235140 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oconee Vision Group, LLCGroup PAC ID 3678876158, 3 clinicians

Practice addresses (Care Compare)

2281 Hog Mountain Rd
Suite C
Watkinsville, GA 30677-4846
Phone (706) 769-4404

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
001656GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Clarkson Optometry Georgia Inc Optometrist CurrentSince Jul 1, 2017 Accepting new patients
Oconee Vision Group, LLC Optometrist CurrentSince Mar 23, 2022 Accepting new patients
Bruce L Hammonds OD PC Optometrist PastSince Mar 23, 2022 Accepting new patients

Locations

8400 Holcomb Bridge Rd
Ste 440
Alpharetta, GA 30022
Phone (770) 645-1222

1013 E Freeway Dr SE
Conyers, GA 30094
Phone (770) 922-7906

2281 Hog Mountain Rd
Ste C
Watkinsville, GA 30677
Phone (706) 769-4404

15933 Clayton Rd
Ste 201
Ballwin, MO 63011

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ecp_cecga
  • Direct secure messaging: paigef@direct.eyecare-partners.com

Organizations & group practices 3

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629163928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 EAST FREEWAY DRIVE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "30094",
            "telephone_number": "770-922-7906",
            "fax_number": "770-483-0498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 EAST FREEWAY DRIVE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "30094",
            "telephone_number": "770-922-7906",
            "fax_number": "770-483-0498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "PAIGE",
        "middle_name": "BUSH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "001656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "3179543",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVESIS",
            "identifier": "33529",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "GA0796",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "P00033636",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00033636",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "0007600451",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSGA",
            "identifier": "727817",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conyers, GA

Sources for this page

Verify at the official NPI Registry.