Cordele Optical Disp., Inc.

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

2008000849 Issued in GA

Legal business name

CORDELE OPTICAL DISP., INC.

Practice address

716 E 16TH Ave Ste G
Cordele, GA 31015-4517

Phone

(229) 273-6678

NPI assigned

May 1, 2008

Last updated

May 1, 2008By 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

Denah Lee

Title

Optician

Phone

(229) 273-6678

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Michael D Hopkins, O.D.

  • Optometrist
  • Moultrie, GA
  • NPI 1013938430
  NPD (past)

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1780850503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70",
            "city": "CORDELE",
            "state": "GA",
            "postal_code": "310100070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 E 16TH AVE STE G",
            "city": "CORDELE",
            "state": "GA",
            "postal_code": "310154517",
            "telephone_number": "229-273-6678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORDELE OPTICAL DISP., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-01",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "DENAH",
        "authorized_official_title_or_position": "OPTICIAN",
        "authorized_official_telephone_number": "229-273-6678"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "GA",
            "license": "2008000849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cordele 2025 LLC
• Cordele Dialysis Center LLC (Cordele Dialysis Center)
• Cordele Family Medicine PC
• Cordele Health and Rehabilitation Center, Inc.
• Cordele Internal Medicine
• Cordele Personal Care Home
• Monae Marie Cost, MD
• Jamie Couch, FNP
• Natalie Olivia Ford Cozart, D.M.D.
• CRH Vein Center, LLC

• Eyewear Supplier in Cordele, GA
• Providers in Cordele, GA by specialty
• Eyewear Supplier in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.