Eye Care Associates of Middle Ga

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT001236 Issued in GA

Legal business name

EYE CARE ASSOCIATES OF MIDDLE GA

Practice address

2485 N Columbia St
Ste 118
Milledgeville, GA 31061-5421

Phone

(478) 452-6569

NPI assigned

Sep 9, 2008

Organization subpart

No

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

Authorized official

Name

Dudley B Christie Jr., OD

Title

Owner

Phone

(478) 971-1500

Specialties & licenses 1

Addresses

Tax ID family

Eye Care Associates of Middle Ga2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Eye Care Associates of Middle Ga

  • Optometrist
  • Dublin, GA
  • NPI 1659520542
  NPD tax ID

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

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220918400000",
    "number": "1720237217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 S HOUSTON LAKE RD",
            "address_2": "STE B",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310886473",
            "telephone_number": "478-971-1500",
            "fax_number": "478-971-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2485 N COLUMBIA ST",
            "address_2": "STE 118",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310615421",
            "telephone_number": "478-452-6569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE ASSOCIATES OF MIDDLE GA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-09",
        "last_updated": "2008-09-09",
        "status": "A",
        "authorized_official_last_name": "CHRISTIE",
        "authorized_official_first_name": "DUDLEY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-971-1500",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT001236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank Owen Evans Jr., M.D.
• Rachel Evans
• Randall Keith Evans, P.T.
• Steven Patrick Everett, ATC
• Excell Home Care Services,Inc
• Clayton Faircloth, MS, ATC, LAT
• Frederick Steven Falchook, M.D.
• Family Eyecare Associates of Milledgeville, PC
• Family Eyecare Associates of Milledgeville, PC
• Family Tree Counseling and Training Center LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.