Oconee Vision Group, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

OCONEE VISION GROUP, LLC

Practice address

2281 Hog Mountain Rd
Suite C
Watkinsville, GA 30677-4846

Phone

(706) 769-4404

Fax

(706) 769-0687

NPI assigned

Dec 29, 2015

Last updated

Dec 29, 2015By 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

Jeffrey Hackleman, O.D.NPI 1427044387

Title

Owner

Phone

(706) 769-4404

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

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.

• Jeffrey Scot Hackleman, O.D.

  • Optometrist
  • Snellville, GA
  • NPI 1427044387
  Medicare reassignment Care Compare group NPD Authorized official
• Paige Bush Foster, O.D.

  • Optometrist
  • Conyers, GA
  • NPI 1629163928
  Medicare reassignment Care Compare group NPD
• Marcy Marie McKibbin, O.D.

  • Optometrist
  • Atlanta, GA
  • NPI 1437439072
  Medicare reassignment Care Compare group NPD
• Robert Baldwin, O.D.

  • Optometrist
  • Snellville, GA
  • NPI 1265710529
  Medicare reassignment NPD
• William Perry Giles Jr., O.D.

  • Optometrist
  • Milledgeville, GA
  • NPI 1912018946
  Medicare reassignment NPD

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

{
    "created_epoch": "1451347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451347200000",
    "number": "1780049221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2281 HOG MOUNTAIN RD",
            "address_2": "SUITE C",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306774846",
            "telephone_number": "706-769-4404",
            "fax_number": "706-769-0687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2281 HOG MOUNTAIN RD",
            "address_2": "SUITE C",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306774846",
            "telephone_number": "706-769-4404",
            "fax_number": "706-769-0687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCONEE VISION GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-29",
        "last_updated": "2015-12-29",
        "status": "A",
        "authorized_official_last_name": "HACKLEMAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-769-4404",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oconee Regenerative PT LLC
• Oconee River Anesthesia Associates, LLC
• Oconee Roots Pharmacy, LLC
• Oconee Sleep Solutions LLC
• Oconee Surgery Center
• Oconee Wholesome Medical LLC
• Oconne County Commissioner of Roads & Revenues
• Kathleen M. Ollendick, PT
• Wilson Omesiete, MD
• Optical Experts, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.