Organization Active NPI

Eric T. Kinard, O.D., P.C.

  • Optometrist
  • Athens, GA
National Provider Identifier
1720105273
Registry record updated Feb 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
933 Issued in GA
Legal business name
ERIC T. KINARD, O.D., P.C.
Practice address
1137 Cedar Shoals Dr
Athens, GA 30605-3592
Phone
(706) 353-2119
NPI assigned
Mar 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2008

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

Authorized official

Name
Dr. Eric Teal Kinard, ODNPI 1407836638
Title
President
Phone
(706) 353-2119

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 933 GA Primary

Addresses

Primary practice location

1137 Cedar Shoals Dr
Athens, GA 30605-3592

Mailing address

1137 Cedar Shoals Dr
Athens, GA 30605-3592
Phone (706) 353-2119

Other identifiers 1

IdentifierTypeStateIssuer
1234960001OtherGAPALMETTO DMERC AREA C

Other names 1

  • Athens Eye Care Doing business as

National Provider Directory

National Provider Directory

Locations

1137 Cedar Shoals Dr
Athens, GA 30605
Phone (706) 353-2119

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": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203379200000",
    "number": "1720105273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1137 CEDAR SHOALS DR",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306053592",
            "telephone_number": "706-353-2119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1137 CEDAR SHOALS DR",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306053592",
            "telephone_number": "706-353-2119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC T. KINARD, O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2008-02-19",
        "status": "A",
        "authorized_official_last_name": "KINARD",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "TEAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-353-2119",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO DMERC AREA C",
            "identifier": "1234960001",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Athens Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 19, 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.