Senior-Care Vision Services Georgia PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2374 Issued in GA

Legal business name

SENIOR-CARE VISION SERVICES GEORGIA PLLC

Practice address

1209 Cleveland Rd
#289
Dalton, GA 30721-8674

Phone

(877) 766-7444

NPI assigned

Aug 4, 2008

Organization subpart

No

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

Authorized official

Name

James C Wardlaw, OD

Title

Owner

Phone

(931) 808-2129

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217808000000",
    "number": "1730345265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7396",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278040396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 CLEVELAND RD",
            "address_2": "#289",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307218674",
            "telephone_number": "877-766-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR-CARE VISION SERVICES GEORGIA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-04",
        "last_updated": "2008-08-04",
        "status": "A",
        "authorized_official_last_name": "WARDLAW",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-808-2129",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "2374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Jo Scott, PTA
• Brittany Scruggs
• Stewart Scruggs, MD
• Stefan Lionel Seemungal, M.D.
• Danielle Sells
• Raven Mackenzie Sewell, OTR/L, OTD
• Susan Herrlich Shacklett
• Aaron Shaner, MS, LMFT
• Alessandra Dwyer Sharp, BSW
• Linda Sharpe, RN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.