Active NPI
Tippett Eyecare, PC
- Optometrist
- Augusta, GA
National Provider Identifier
1659684975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- GA1296T
- 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, 2025
- 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
- Mrs. Annette Carraway
- Title
- Office Manager
- Phone
- (706) 738-1102
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00618549A | Medicaid | GA | |
| 1213300001 | Other | GA | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 2
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Tippett Eyecare, PC | Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Optometrist
- Augusta, GA
- NPI 1770575649
-
- Optometrist
- Spartanburg, SC
- NPI 1679137343
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.