Active NPI
Eye Pros
- Clinic/Center
- Pooler, GA
National Provider Identifier
1659312452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- OPT1194
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Optometrist
- Pooler, GA
- NPI 1598709537
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.