Macon Eyecare Associates Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT001919 Issued in GA

Legal business name

MACON EYECARE ASSOCIATES INC

Doing business as

McDonough Family EyeCare

Practice address

1385 Highway 20 W
McDonough, GA 30253-7304

Phone

(770) 898-7078

Fax

(770) 898-7160

NPI assigned

Apr 23, 2008

Last updated

Oct 7, 2010By 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

Dr. Scot M Werner, O.D.

Title

President

Phone

(770) 898-7078

Specialties & licenses 1

Addresses

Other names 1

• McDonough Family EyeCare Doing business as

Locations

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286409600000",
    "number": "1780859579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1385 HIGHWAY 20 W",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302537304",
            "telephone_number": "770-898-7078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1385 HIGHWAY 20 W",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302537304",
            "telephone_number": "770-898-7078",
            "fax_number": "770-898-7160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACON EYECARE ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-23",
        "last_updated": "2010-10-07",
        "status": "A",
        "authorized_official_last_name": "WERNER",
        "authorized_official_first_name": "SCOT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-898-7078",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT001919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McDonough Family EyeCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2010; 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.