Active NPI
Optical Associates of South Ga LLP
- Optometrist
- Valdosta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT0001045
- Legal business name
- OPTICAL ASSOCIATES OF SOUTH GA LLP
- Practice address
- 3024 N Patterson St
Valdosta, GA 31602-1711 - Phone
- (229) 247-4114
- Fax
- (229) 245-9042
- NPI assigned
- Oct 7, 2010
- Last updated
- Oct 7, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Clifford D Courtenay, OD
- Title
- Director
- Phone
- (229) 247-4114
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT0001045 | GA | Primary |
Addresses
Primary practice location
3024 N Patterson St
Valdosta, GA 31602-1711
Mailing address
3024 N Patterson St
Valdosta, GA 31602-1711
Phone (229) 247-4114
National Provider Directory
National Provider Directory- Tax ID family
- Optical Associates of South Ga LLP
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Eyewear Supplier
- Valdosta, GA
- NPI 1811171689
Practitioners & affiliated clinicians
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.
-
- Optometrist
- Valdosta, GA
- NPI 1619982485
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286409600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1286409600000",
"number": "1780993899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3024 N PATTERSON ST",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316021711",
"telephone_number": "229-247-4114",
"fax_number": "229-245-9042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3024 N PATTERSON ST",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316021711",
"telephone_number": "229-247-4114",
"fax_number": "229-245-9042"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTICAL ASSOCIATES OF SOUTH GA LLP",
"organizational_subpart": "NO",
"enumeration_date": "2010-10-07",
"last_updated": "2010-10-07",
"status": "A",
"authorized_official_last_name": "COURTENAY",
"authorized_official_first_name": "CLIFFORD",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "229-247-4114",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "OPT0001045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Valdosta, GA
- Pamela Lei Oliver, LMSW
- Oneopto Ga 2 PLLC (Wilson Eye Center)
- Onyx Health and Wellness Center LLC
- Optical Associates of South Ga Llo
- Optical Associates of South Ga LLP
- Optimal Joint & Neurorehab LLC
- Lynn Orenstein, M.ED. CCC-SLP
- Jennifer Elizabeth Orr
- Orthopedic Surgeons of Georgia LLC (Orthopedic Surgeons of Georgia)
- Carlos Ivan Ortiz, O.D.
Sources for this page
- 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.