Family Eye Care of Columbus, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

FAMILY EYE CARE OF COLUMBUS, INC

Practice address

2505 Airport Thruway Ste L
Columbus, GA 31904-9114

Phone

(706) 221-1122

NPI assigned

Aug 26, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Kelly H Nilsson, ODNPI 1598040354

Title

President

Phone

(706) 221-1122

Specialties & licenses 1

Addresses

Other names 1

• The Landings Eye Care Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelly Honsinger Nilsson, OD

  • Optometrist
  • Columbus, GA
  • NPI 1598040354
  Medicare reassignment NPD Authorized official
• Maria F Gutierrez, O.D.

  • Optometrist
  • Columbus, GA
  • NPI 1841310745
  NPD (past)

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

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629936000000",
    "number": "1790452829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 AIRPORT THRUWAY STE L",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319049114",
            "telephone_number": "706-221-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 AIRPORT THRUWAY STE L",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319049114",
            "telephone_number": "706-221-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY EYE CARE OF COLUMBUS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-26",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A",
        "authorized_official_last_name": "NILSSON",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-221-1122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Landings Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Vision
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• Optometrist in Columbus, GA
• Providers in Columbus, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.