Organization Active NPI

Sean Carr, O.D., P.C.

Doing business as Coweta Eye Care

  • Optometrist
  • Newnan, GA
National Provider Identifier
1770770539
Registry record updated Mar 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1560 Issued in GA
Legal business name
SEAN CARR, O.D., P.C.
Doing business as
Coweta Eye Care
Practice address
8 Bullsboro Dr
Newnan, GA 30263-1476
Phone
(770) 254-9996
Fax
(770) 252-0050
NPI assigned
Sep 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2008

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

Authorized official

Name
Dr. Grant Paul Macdonald, O.D.NPI 1841315595
Title
Optometrist/Partner
Phone
(770) 254-9996

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 1560 GA Primary

Addresses

Primary practice location

8 Bullsboro Dr
Newnan, GA 30263-1476

Mailing address

8 Bullsboro Dr
Newnan, GA 30263-1476
Phone (770) 254-9996

Other names 1

  • Coweta Eye Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050920000063 GA Part B Supplier - Clinic/Group Practice 6103850276 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Newman, GA; Newnan, GA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

8 Bullsboro Dr
Newnan, GA 30263
Phone (770) 254-9996

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1770770539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 BULLSBORO DR",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302631476",
            "telephone_number": "770-254-9996",
            "fax_number": "770-252-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 BULLSBORO DR",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302631476",
            "telephone_number": "770-254-9996",
            "fax_number": "770-252-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEAN CARR, O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "MACDONALD",
        "authorized_official_first_name": "GRANT",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OPTOMETRIST/PARTNER",
        "authorized_official_telephone_number": "770-254-9996",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "1560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coweta Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newnan, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.