Myeyedr Optometry of Georgia, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MYEYEDR OPTOMETRY OF GEORGIA, LLC

Doing business as

MyEyeDr.

Practice address

503 Furys Ferry Rd
Martinez, GA 30907-9059

Phone

(706) 860-8899

Fax

(706) 863-7822

NPI assigned

Nov 28, 2005

Last updated

May 26, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sue Healey

Title

Secretary

Phone

(703) 847-8899

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• MyEyeDr. Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 33

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.

• Bruce S. Goldin, O.D.

  • Optometrist
  • Brunswick, GA
  • NPI 1174690861
  NPD
• Jay Michael Johansen, OD

  • Optometrist
  • Savannah, GA
  • NPI 1245386267
  NPD
• Dale E Patrick, O.D.

  • Optometrist
  • Augusta, GA
  • NPI 1396715819
  NPD
• Carol A Schwan, OD

  • Optometrist
  • Martinez, GA
  • NPI 1649366113
  NPD
• Frank Benedict Villa II, O.D.

  • Corneal and Contact Management Optometrist
  • Lynchburg, VA
  • NPI 1366448144
  NPD
• Lacy Alvarez

  • Optometrist
  • Statesboro, GA
  • NPI 1467835066
  NPD (past)
• Katie Boeskool, O.D.

  • Optometrist
  • Kingsland, GA
  • NPI 1437522364
  NPD (past)
• Henry Howard Brewer III, OD

  • Optometrist
  • Thomasville, GA
  • NPI 1194702225
  NPD (past)
• Caitlin Marie Byrne, OD

  • Optometrist
  • Woodstock, GA
  • NPI 1780179663
  NPD (past)
• Elizabeth P Covington, O.D.

  • Optometrist
  • Canton, GA
  • NPI 1497986517
  NPD (past)
• Lauren Elizabeth Daniel, OD

  • Optometrist
  • Kennesaw, GA
  • NPI 1881436210
  NPD (past)
• Shara B. Draper, O.D.

  • Optometrist
  • Acworth, GA
  • NPI 1467468272
  NPD (past)

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653523200000",
    "number": "1689657322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 FURYS FERRY RD",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309079059",
            "telephone_number": "706-860-8899",
            "fax_number": "706-863-7822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYEYEDR OPTOMETRY OF GEORGIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-28",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A",
        "authorized_official_last_name": "HEALEY",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "703-847-8899"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00621343D",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GPA752",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MyEyeDr.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jaleah Murphy
• Sarah Murphy
• Robert L Murray
• Amanda Faith Murz, RBT
• Alan F Myers, DMD
• Myhealthstores LLC (UrostomyDirect)
• Marie Nacarato
• Janaki Nadarajah, DPM
• Rebecca Nalley, APC
• George Naylor III, N.P.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.