Northeast Georgia Vision Care, LC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1106 Issued in GA

Legal business name

NORTHEAST GEORGIA VISION CARE, LC

Doing business as

King Vision Care

Practice address

118 Vision Dr
Cornelia, GA 30531-5737

Phone

(706) 776-6311

NPI assigned

Jul 10, 2008

Last updated

Jul 10, 2008By 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

Dr. Holton S King, O.D.NPI 1194713990

Title

Pres./ Owner

Phone

(706) 776-6311

Specialties & licenses 1

Addresses

Other names 1

• King Vision Care Doing business as

Locations

Practitioners 1

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.

• Holton S King Jr., O.D.

  • Optometrist
  • Cornelia, GA
  • NPI 1194713990
  Authorized official Same address or phone

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

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1689837593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 VISION DRIVE",
            "city": "CORNELIA",
            "state": "GA",
            "postal_code": "30531",
            "telephone_number": "706-776-6311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 VISION DR",
            "city": "CORNELIA",
            "state": "GA",
            "postal_code": "305315737",
            "telephone_number": "706-776-6311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST GEORGIA VISION CARE, LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-10",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "HOLTON",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRES./ OWNER",
        "authorized_official_telephone_number": "706-776-6311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "1106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "King Vision Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• National Vision, Inc.
• Stephanie Nicholson
• William Loren Noggle, D.M.D
• North Georgia Counseling Center, Inc.
• Northeast Georgia Vision Care LLC (King Vision Care)
• Nutrition a la Mesa
• Connor Ondriezek
• Brandi Allison Owen Wilbanks
• Darren A. Owens, D.D.S.
• Kimberly Page

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; 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.