Organization Active NPI

NW Georgia Eye Care

  • Optometrist
  • Chatsworth, GA
National Provider Identifier
1689833089
Registry record updated Feb 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
NW GEORGIA EYE CARE
Practice address
2120 Highway 76
Suite a Cohutta Place
Chatsworth, GA 30705-7302
Phone
(706) 695-0107
Fax
(706) 517-9633
NPI assigned
Jun 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2014

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

Authorized official

Name
Dr. Charles Allen Callaway, R.PH, O.D.
Title
O.D.
Phone
(706) 695-0107

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

2120 Highway 76
Suite a Cohutta Place
Chatsworth, GA 30705-7302

Mailing address

2120 Highway 76
Suite a Cohutta Place
Chatsworth, GA 30705-7302
Phone (706) 695-0107

National Provider Directory

National Provider Directory

Locations

2120 Highway 76
Ste A
Chatsworth, GA 30705
Phone (706) 695-0107

NPI Registry JSON

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392768000000",
    "number": "1689833089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 HIGHWAY 76",
            "address_2": "SUITE A COHUTTA PLACE",
            "city": "CHATSWORTH",
            "state": "GA",
            "postal_code": "307057302",
            "telephone_number": "706-695-0107",
            "fax_number": "706-517-9633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 HIGHWAY 76",
            "address_2": "SUITE A COHUTTA PLACE",
            "city": "CHATSWORTH",
            "state": "GA",
            "postal_code": "307057302",
            "telephone_number": "706-695-0107",
            "fax_number": "706-517-9633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NW GEORGIA EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-02",
        "last_updated": "2014-02-19",
        "status": "A",
        "authorized_official_last_name": "CALLAWAY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "O.D.",
        "authorized_official_telephone_number": "706-695-0107",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "R.PH, O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chatsworth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2014; 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.