East Athens Family Vision, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EAST ATHENS FAMILY VISION, LLC

Practice address

850 Gaines School Rd
Athens, GA 30605-3132

Phone

(706) 850-7101

Fax

(706) 850-7089

NPI assigned

Dec 7, 2020

Organization subpart

Yes

Parent organization

RUSSELL D SPRINGER, P.C.As reported in NPPES

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

Authorized official

Name

Dr. Russell Douglas Springer, ODNPI 1336123843

Title

Owner

Phone

(706) 543-3599

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Part of

Russell D Springer PC

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Russell D Springer PC

  • Optometrist
  • Athens, GA
  • NPI 1841593175

  Member Of

  NPD member

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Russell D Springer, P.C.

  • Medical Specialty Clinic/Center
  • Athens, GA
  • NPI 1780851170
  NPPES parent name

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Russell D. Springer, PC

  • Optometrist
  • Athens, GA
  • NPI 1336123843
  Medicare reassignment Care Compare group NPD Authorized official
• Marsha D Beckham, OD

  • Optometrist
  • Athens, GA
  • NPI 1699855510
  Medicare reassignment Care Compare group NPD
• Chad Edgar Poole, O.D.

  • Optometrist
  • Athens, GA
  • NPI 1053337154
  Medicare reassignment Care Compare group NPD
• Suzanne Elaine Riffel, O.D.

  • Optometrist
  • Las Vegas, NV
  • NPI 1073812061

  GA

  Medicare reassignment Care Compare group NPD
• Chelsea Lee Miller, O.D,

  • Optometrist
  • Athens, GA
  • NPI 1720386865
  Medicare reassignment NPD

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

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642377600000",
    "number": "1639775588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 HAWTHORNE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062881",
            "telephone_number": "706-850-7101",
            "fax_number": "706-850-7089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 GAINES SCHOOL RD",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306053132",
            "telephone_number": "706-850-7101",
            "fax_number": "706-850-7089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST ATHENS FAMILY VISION, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RUSSELL D SPRINGER, P.C.",
        "enumeration_date": "2020-12-07",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A",
        "authorized_official_last_name": "SPRINGER",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-543-3599",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003257528A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00772098A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Margaret M. Earnest, RD
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• Kjesti Easton, MA
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• Eating Disorders Recovery Center
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• Optometrist in Athens, GA
• Providers in Athens, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.