Organization Active NPI

Wright Eye Care, P.C.

  • Optometrist
  • Kingsland, GA
National Provider Identifier
1780773697
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT 001626 Issued in GA
Legal business name
WRIGHT EYE CARE, P.C.
Practice address
1891 Ga Highway 40 E
Suite 1108
Kingsland, GA 31548-6572
Phone
(912) 576-8980
Fax
(912) 576-8842
NPI assigned
Oct 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Julie Ann Wright, O.D.NPI 1457314320
Title
Owner/Optometrist
Phone
(912) 576-8980

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 OPT 001626 GA Primary

Addresses

Primary practice location

1891 Ga Highway 40 E
Suite 1108
Kingsland, GA 31548-6572

Mailing address

PO Box 1015
Kingsland, GA 31548-1015
Phone (912) 576-8980

Other identifiers 2

IdentifierTypeStateIssuer
00765047BMedicaidGA
GRP4902OtherGAMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070601000005 GA Part B Supplier - Clinic/Group Practice 0345348124 Receives reassigned benefits from 1 practitioner
Practice locations: Kingsland, GA
O20100930095564 GA DME Supplier - Physician - Optometrist 0345348124 Practice locations: Kingsland, GA

Laboratory certificates & supplier records

Derived by NPIMap

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

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Wright Eye Care, P.C1891 Ga Highway 40 E 1108, Kingsland, GA 31548-6573(912) 576-8980 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Jul 1, 1966

National Provider Directory

National Provider Directory

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": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1780773697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1015",
            "city": "KINGSLAND",
            "state": "GA",
            "postal_code": "315481015",
            "telephone_number": "912-576-8980",
            "fax_number": "912-576-8842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1891 GA HIGHWAY 40 E",
            "address_2": "SUITE 1108",
            "city": "KINGSLAND",
            "state": "GA",
            "postal_code": "315486572",
            "telephone_number": "912-576-8980",
            "fax_number": "912-576-8842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WRIGHT EYE CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "912-576-8980",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT 001626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00765047B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "GRP4902",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsland, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.