NPIMap

Organization Active NPI

Thomas Eye Center

  • Optometrist
  • Athens, GA
National Provider Identifier
1700096021
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1062 Issued in GA
Legal business name
THOMAS EYE CENTER
Practice address
1077 Baxter St
Suite 100
Athens, GA 30606-3767
Phone
(706) 549-7757
Fax
(706) 549-4186
NPI assigned
May 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Ellen Byrum Goad, LDO
Title
Office Manager
Phone
(706) 549-7757

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1062 GA Primary

Addresses

Primary practice location

1077 Baxter St
Suite 100
Athens, GA 30606-3767

Mailing address

1077 Baxter St
Suite 100
Athens, GA 30606-3767
Phone (706) 549-7757

National Provider Directory

National Provider Directory

Locations

1077 Baxter St
Athens, GA 30606
Phone (706) 369-6101

1077 Baxter St
Ste 100
Athens, GA 30606
Phone (706) 549-7757

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700096021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1077 BAXTER ST",
            "address_2": "SUITE 100",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306063767",
            "telephone_number": "706-549-7757",
            "fax_number": "706-549-4186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1077 BAXTER ST",
            "address_2": "SUITE 100",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306063767",
            "telephone_number": "706-549-7757",
            "fax_number": "706-549-4186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS EYE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOAD",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "BYRUM",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "706-549-7757",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LDO"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "1062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.