Organization Active NPI

Tippett Eyecare, PC

  • Optometrist
  • Augusta, GA
National Provider Identifier
1659684975
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
GA1296T Issued in GA
Legal business name
TIPPETT EYECARE, PC
Practice address
2465 Wrightsboro Rd
Augusta, GA 30904-6244
Phone
(706) 738-1102
Fax
(706) 738-1149
NPI assigned
Jul 15, 2010
Last updated
Oct 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Authorized official

Name
Mrs. Annette Carraway
Title
Office Manager
Phone
(706) 738-1102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X GA1296T GA Primary

Addresses

Primary practice location

2465 Wrightsboro Rd
Augusta, GA 30904-6244

Mailing address

2465 Wrightsboro Rd
Augusta, GA 30904-6244
Phone (706) 738-1102

Other identifiers 2

IdentifierTypeStateIssuer
00618549AMedicaidGA
1213300001OtherGARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100830000220 GA Part B Supplier - Clinic/Group Practice 6305960279 Receives reassigned benefits from 1 practitioner
Practice locations: Augusta, GA; Grovetown, GA
O20100930068948 GA DME Supplier - Physician - OptometristDME Supplier - Optician 6305960279 Practice locations: Augusta, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Tippett Eyecare, PC2465 Wrightsboro Rd, Augusta, GA 30904-6244(706) 738-1102 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Jun 23, 2010

National Provider Directory

National Provider Directory

Locations

701 Devika Dr
Ste 3
Grovetown, GA 30813
Phone (706) 738-1102

701 Devika Dr
Grovetown, GA 30813

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1279152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761004800000",
    "number": "1659684975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2465 WRIGHTSBORO RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309046244",
            "telephone_number": "706-738-1102",
            "fax_number": "706-738-1149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2465 WRIGHTSBORO RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309046244",
            "telephone_number": "706-738-1102",
            "fax_number": "706-738-1149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIPPETT EYECARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-15",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A",
        "authorized_official_last_name": "CARRAWAY",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "706-738-1102",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "GA1296T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00618549A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "1213300001",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.