Organization Active NPI

Kent Alan Voyce OD PC

  • Optometrist
  • Newnan, GA
National Provider Identifier
1689738817
Registry record updated Dec 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1258 Issued in GA
Legal business name
KENT ALAN VOYCE OD PC
Practice address
1025 Highway 34 E
Newnan, GA 30265-6803
Phone
(770) 502-1891
Fax
(770) 502-1924
NPI assigned
Dec 21, 2006
Last updated
Dec 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2010

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

Authorized official

Name
Tabbatha Bell Bonner
Title
Doctor's Assistant
Phone
(770) 502-1891

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1258 GA Primary

Addresses

Primary practice location

1025 Highway 34 E
Newnan, GA 30265-6803

Mailing address

1025 Highway 34 E
Newnan, GA 30265-6803
Phone (770) 502-1891

Other identifiers 2

IdentifierTypeStateIssuer
410034736OtherGARAIL ROAD MEDICARE
000618769CMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040505000327 GA Part B Supplier - Clinic/Group Practice 1153319454 Receives reassigned benefits from 3 practitioners
Practice locations: Newnan, GA

National Provider Directory

National Provider Directory

Locations

37 Calumet Pkwy
Ste M100
Newnan, GA 30263
Phone (678) 818-4400

Interoperability endpoints

  • Direct secure messaging: kvoyce@drkentvoyce.eyefinity-direct.com

Practitioners & affiliated clinicians

Practitioners 3

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": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292976000000",
    "number": "1689738817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 HIGHWAY 34 E",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302656803",
            "telephone_number": "770-502-1891",
            "fax_number": "770-502-1924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 HIGHWAY 34 E",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302656803",
            "telephone_number": "770-502-1891",
            "fax_number": "770-502-1924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENT ALAN VOYCE OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2010-12-22",
        "status": "A",
        "authorized_official_last_name": "BONNER",
        "authorized_official_first_name": "TABBATHA",
        "authorized_official_middle_name": "BELL",
        "authorized_official_title_or_position": "DOCTOR'S ASSISTANT",
        "authorized_official_telephone_number": "770-502-1891"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "1258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "410034736",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000618769C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2010; 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.