Active NPI
The Eyes Have It, LLC
- Optometrist
- Jonesboro, GA
National Provider Identifier
1700166394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT002500
- Legal business name
- THE EYES HAVE IT, LLC
- Practice address
- 6525 Tara Blvd
Suite 134
Jonesboro, GA 30236-1227 - Phone
- (678) 369-8676
- Fax
- (678) 369-8676
- NPI assigned
- Aug 26, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lachionte Culpepper, D.O.
- Title
- Owner/Optometrist
- Phone
- (678) 572-5705
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT002500 | GA | Primary |
Addresses
Primary practice location
6525 Tara Blvd
Suite 134
Jonesboro, GA 30236-1227
Mailing address
5174 Hickory Cir
Ellenwood, GA 30294-3689
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003107177A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4949 Bill Gardner Pkwy
#V
Locust Grove, GA 30248
Phone (470) 690-3393
210 Lower Poplar St
Macon, GA 31201
Phone (470) 690-3393
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Macon, GA
- NPI 1568617421
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314316800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1314316800000",
"number": "1700166394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5174 HICKORY CIR",
"city": "ELLENWOOD",
"state": "GA",
"postal_code": "302943689",
"fax_number": "678-369-8676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6525 TARA BLVD",
"address_2": "SUITE 134",
"city": "JONESBORO",
"state": "GA",
"postal_code": "302361227",
"telephone_number": "678-369-8676",
"fax_number": "678-369-8676"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE EYES HAVE IT, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-26",
"last_updated": "2011-08-26",
"status": "A",
"authorized_official_last_name": "CULPEPPER",
"authorized_official_first_name": "LACHIONTE",
"authorized_official_title_or_position": "OWNER/OPTOMETRIST",
"authorized_official_telephone_number": "678-572-5705",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "GA",
"license": "OPT002500",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003107177A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jonesboro, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2011; 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.