Villa Rica Eye Care

Primary specialty

OptometristTaxonomy code 152W00000X

License

002396 Issued in GA

Legal business name

VILLA RICA EYE CARE

Practice address

402 Courthouse Square
Buchanan, GA 30113

Phone

(770) 646-9100

Fax

(770) 646-0007

NPI assigned

Jun 17, 2009

Last updated

Jun 17, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Christopher Cook, ODNPI 1215136296

Title

Owner

Phone

(678) 941-3357

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christopher Evan Cook, OD

  • Optometrist
  • Buchanan, GA
  • NPI 1215136296
  NPD Authorized official

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

{
    "created_epoch": "1245196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245196800000",
    "number": "1720215775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 S CARROLL RD",
            "address_2": "SUITE C",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301802728",
            "telephone_number": "678-941-3357",
            "fax_number": "678-941-3358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 COURTHOUSE SQUARE",
            "city": "BUCHANAN",
            "state": "GA",
            "postal_code": "30113",
            "telephone_number": "770-646-9100",
            "fax_number": "770-646-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLA RICA EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-17",
        "last_updated": "2009-06-17",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-941-3357",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "002396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern Optometrics, Inc (Buchanan Eye Care)
• Sovereign Healthcare of Buchanan, LLC (Southern Traditions)
• Catherine Anne Thompson, RBT
• TMC Buchanan Family Healthcare Center (Buchanan Medical Clinic)
• Tiffanie Webb Turner, NP

• Optometrist in Buchanan, GA
• Providers in Buchanan, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2009; 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.