Organization Active NPI

The Eyes Have It, LLC

  • Optometrist
  • Jonesboro, GA
National Provider Identifier
1700166394
Registry record updated Aug 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT002500 Issued in GA
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

Updated by the provider on Aug 26, 2011

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

Authorized official

Name
Dr. Lachionte Culpepper, D.O.NPI 1568617421
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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
003107177AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110829000233 GA Part B Supplier - Clinic/Group Practice 2961672050 Receives reassigned benefits from 1 practitioner
Practice locations: Locust Grove, GA; Macon, GA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.