Optical Associates of South Ga Llo

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

OPTICAL ASSOCIATES OF SOUTH GA LLO

Practice address

3024 N Patterson St
Valdosta, GA 31602-1711

Phone

(229) 247-4114

NPI assigned

Dec 28, 2007

Organization subpart

No

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

Authorized official

Name

Clifford D Courtenay, O.D.

Title

Managing Partner

Phone

(229) 247-4114

Specialties & licenses 1

Addresses

Tax ID family

Optical Associates of South Ga LLP2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Optical Associates of South Ga LLP

  • Optometrist
  • Valdosta, GA
  • NPI 1780993899
  NPD tax ID

Locations

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198800000000",
    "number": "1811171689",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICAL ASSOCIATES OF SOUTH GA LLO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-28",
        "last_updated": "2007-12-28",
        "status": "A",
        "authorized_official_last_name": "COURTENAY",
        "authorized_official_first_name": "CLIFFORD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "229-247-4114",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ken Okons, M.D.
• La Reshia Nichole Okubena, APRN
• Pamela Lei Oliver, LMSW
• Oneopto Ga 2 PLLC
• Onyx Health and Wellness Center LLC
• Optical Associates of South Ga LLP
• Optical Associates of South Ga LLP
• Optimal Joint & Neurorehab LLC
• Lynn Orenstein, M.ED. CCC-SLP
• Jennifer Elizabeth Orr

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2007; 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.