NPIMap

Organization Active NPI

Eyexam of Peachtree City PC

  • Optometrist
  • Peachtree City, GA
National Provider Identifier
1750768073
Registry record updated May 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT002729 Issued in GA
Legal business name
EYEXAM OF PEACHTREE CITY PC
Practice address
407 City Cir
Ste 1600
Peachtree City, GA 30269-3125
Phone
(770) 487-8013
NPI assigned
May 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2015

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

Authorized official

Name
Dr. Bobby Darrell Smith II, O.D.
Title
Optometrist/President
Phone
(770) 487-8013

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPT002729 GA Primary

Addresses

Primary practice location

407 City Cir
Ste 1600
Peachtree City, GA 30269-3125

Mailing address

407 City Cir
Ste 1600
Peachtree City, GA 30269-3125

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1430870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430870400000",
    "number": "1750768073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 CITY CIR",
            "address_2": "STE 1600",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302693125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 CITY CIR",
            "address_2": "STE 1600",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302693125",
            "telephone_number": "770-487-8013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEXAM OF PEACHTREE CITY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-06",
        "last_updated": "2015-05-06",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_middle_name": "DARRELL",
        "authorized_official_title_or_position": "OPTOMETRIST/PRESIDENT",
        "authorized_official_telephone_number": "770-487-8013",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachtree City, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; 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.