Organization Active NPI

Caleb Landrum, LLC

  • Optometrist
  • Rockmart, GA
National Provider Identifier
1699176883
Registry record updated Sep 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
CALEB LANDRUM, LLC
Practice address
530 Hunter St
Rockmart, GA 30153-1916
Phone
(770) 684-5650
Fax
(770) 684-1539
NPI assigned
Sep 8, 2014
Last updated
Sep 8, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2014

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

Authorized official

Name
Dr. John Caleb Landrum, OD
Title
Manager
Phone
(770) 684-5650

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

530 Hunter St
Rockmart, GA 30153-1916

Mailing address

530 Hunter St
Rockmart, GA 30153-1916
Phone (770) 684-5650

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1410134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410134400000",
    "number": "1699176883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 HUNTER ST",
            "city": "ROCKMART",
            "state": "GA",
            "postal_code": "301531916",
            "telephone_number": "770-684-5650",
            "fax_number": "770-684-1539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 HUNTER ST",
            "city": "ROCKMART",
            "state": "GA",
            "postal_code": "301531916",
            "telephone_number": "770-684-5650",
            "fax_number": "770-684-1539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALEB LANDRUM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-08",
        "last_updated": "2014-09-08",
        "status": "A",
        "authorized_official_last_name": "LANDRUM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "CALEB",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "770-684-5650",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockmart, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.