Oakwood Eye Associates

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT002307 Issued in GA

Legal business name

OAKWOOD EYE ASSOCIATES

Doing business as

Elan Eye of Oakwood

Practice address

4008 Mundy Mill Rd
Oakwood, GA 30566-2807

Phone

(770) 534-5305

Fax

(770) 534-5191

NPI assigned

Mar 28, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Chad Poole, O.D.

Title

Owner

Phone

(770) 965-5101

Specialties & licenses 1

Addresses

Other names 1

• Elan Eye of Oakwood Doing business as

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

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490659200000",
    "number": "1679005847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 387",
            "city": "BRASELTON",
            "state": "GA",
            "postal_code": "305170007",
            "telephone_number": "770-965-5101",
            "fax_number": "770-965-5102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4008 MUNDY MILL RD",
            "city": "OAKWOOD",
            "state": "GA",
            "postal_code": "305662807",
            "telephone_number": "770-534-5305",
            "fax_number": "770-534-5191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKWOOD EYE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-28",
        "last_updated": "2017-03-28",
        "status": "A",
        "authorized_official_last_name": "POOLE",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-965-5101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elan Eye of Oakwood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; 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.