Georgia Eye Services, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT002200 Issued in GA

Legal business name

GEORGIA EYE SERVICES, LLC

Practice address

3999 Austell Rd
Austell, GA 30106-1100

Phone

(770) 941-2323

Fax

(770) 941-9220

NPI assigned

Nov 16, 2009

Organization subpart

No

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

Authorized official

Name

Robert Wesley Mobley, O,D,

Title

President

Phone

(770) 941-2323

Specialties & licenses 1

Addresses

Practitioners 1

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

• Bennie Dean Mobley, O.D.

  • Optometrist
  • Sharpsburg, GA
  • NPI 1215926233
  NPD (past)

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

{
    "created_epoch": "1258329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258329600000",
    "number": "1669709473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3999 AUSTELL RD",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061100",
            "telephone_number": "770-941-2323",
            "fax_number": "770-941-9220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3999 AUSTELL RD",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061100",
            "telephone_number": "770-941-2323",
            "fax_number": "770-941-9220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA EYE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-16",
        "last_updated": "2009-11-16",
        "status": "A",
        "authorized_official_last_name": "MOBLEY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "WESLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-941-2323",
        "authorized_official_credential": "O,D,"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2009; 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.