Gege Odion OD LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT001402 Issued in GA

Legal business name

GEGE ODION OD LLC

Practice address

4670 Riversound Dr
Snellville, GA 30039-8540

Phone

(770) 265-6450

NPI assigned

Jul 18, 2011

Last updated

Jul 18, 2011By 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

Gege Odion, OD

Title

Owner

Phone

(770) 265-6450

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1310947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310947200000",
    "number": "1720376379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4670 RIVERSOUND DR",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300398540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4670 RIVERSOUND DR",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300398540",
            "telephone_number": "770-265-6450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEGE ODION OD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-18",
        "last_updated": "2011-07-18",
        "status": "A",
        "authorized_official_last_name": "ODION",
        "authorized_official_first_name": "GEGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-265-6450",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT001402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2011; 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.