Eye Care Associates of Middle Ga

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT001236 Issued in GA

Legal business name

EYE CARE ASSOCIATES OF MIDDLE GA

Practice address

1634 Veterans Blvd
Ste C
Dublin, GA 31021-3500

Phone

(478) 272-0249

NPI assigned

Sep 16, 2008

Organization subpart

No

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

Authorized official

Name

Dudley B Christie, OD

Title

Owner

Phone

(478) 971-1500

Specialties & licenses 1

Addresses

Tax ID family

Eye Care Associates of Middle Ga2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Eye Care Associates of Middle Ga

  • Optometrist
  • Milledgeville, GA
  • NPI 1720237217
  NPD tax ID

Locations

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

{
    "created_epoch": "1221523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221523200000",
    "number": "1659520542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 S HOUSTON LAKE RD",
            "address_2": "STE B",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310886473",
            "telephone_number": "478-971-1500",
            "fax_number": "478-971-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1634 VETERANS BLVD",
            "address_2": "STE C",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310213500",
            "telephone_number": "478-272-0249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE ASSOCIATES OF MIDDLE GA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-16",
        "last_updated": "2008-09-16",
        "status": "A",
        "authorized_official_last_name": "CHRISTIE",
        "authorized_official_first_name": "DUDLEY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-971-1500",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT001236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.