Organization Active NPI

Seborah W. King, O.D. & Associates, L.L.C.

  • Optometrist
  • Macon, GA
National Provider Identifier
1730287996
Registry record updated Oct 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT001942 Issued in GA
Legal business name
SEBORAH W. KING, O.D. & ASSOCIATES, L.L.C.
Practice address
5955 Zebulon Rd
Walmart Vision Center
Macon, GA 31210-2030
Phone
(478) 471-9011
Fax
(478) 471-9042
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2012

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

Authorized official

Name
Dr. Seborah W King, O.D.NPI 1649372343
Title
Owner
Phone
(478) 737-6285

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 OPT001942 GA Primary

Addresses

Primary practice location

5955 Zebulon Rd
Walmart Vision Center
Macon, GA 31210-2030

Mailing address

1005 Underwood Dr
Macon, GA 31210-3332
Phone (478) 737-6286

National Provider Directory

National Provider Directory

Locations

5955 Zebulon Rd
Macon, GA 31210
Phone (478) 471-9122

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": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349049600000",
    "number": "1730287996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 UNDERWOOD DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312103332",
            "telephone_number": "478-737-6286",
            "fax_number": "478-477-9149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5955 ZEBULON RD",
            "address_2": "WALMART VISION CENTER",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312102030",
            "telephone_number": "478-471-9011",
            "fax_number": "478-471-9042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEBORAH W. KING, O.D. & ASSOCIATES, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2012-10-01",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "SEBORAH",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-737-6285",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT001942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; 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.