Organization Active NPI

Eye Pros

  • Clinic/Center
  • Pooler, GA
National Provider Identifier
1659312452
Registry record updated Mar 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
OPT1194 Issued in GA
Legal business name
EYE PROS
Practice address
1370 US Highway 80 E
Ste E
Pooler, GA 31322-8902
Phone
(912) 965-9605
Fax
(912) 965-9604
NPI assigned
Jun 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2008

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

Authorized official

Name
Dr. Christine A Kreide, O.D.NPI 1598709537
Title
President
Phone
(912) 965-9605

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X OPT1194 GA Primary
Durable Medical Equipment & Medical Supplies 332B00000X OPT1194T GA

Addresses

Primary practice location

1370 US Highway 80 E
Ste E
Pooler, GA 31322-8902

Mailing address

1370 US Highway 80 E
Ste E
Pooler, GA 31322-8902
Phone (912) 965-9605

National Provider Directory

National Provider Directory

Locations

1370 US Highway 80 E
Ste E
Pooler, GA 31322
Phone (912) 965-9605

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205884800000",
    "number": "1659312452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 US HIGHWAY 80 E",
            "address_2": "STE E",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313228902",
            "telephone_number": "912-965-9605",
            "fax_number": "912-965-9604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 US HIGHWAY 80 E",
            "address_2": "STE E",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313228902",
            "telephone_number": "912-965-9605",
            "fax_number": "912-965-9604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE PROS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2008-03-19",
        "status": "A",
        "authorized_official_last_name": "KREIDE",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "912-965-9605",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "GA",
            "license": "OPT1194",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "OPT1194T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pooler, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; 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.