Habesham Eye Clinic Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT001763 Issued in GA

Legal business name

HABESHAM EYE CLINIC INC

Practice address

35 Parker LN
Richmond Hill, GA 31324-3695

Phone

(706) 768-5198

NPI assigned

Jun 29, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Eric W Colegrove, O.D.

Title

President

Phone

(706) 768-5198

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550620800000",
    "number": "1811925977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1614",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313241614",
            "telephone_number": "706-768-5198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 PARKER LN",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313243695",
            "telephone_number": "706-768-5198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HABESHAM EYE CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2019-02-20",
        "status": "A",
        "authorized_official_last_name": "COLEGROVE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-768-5198",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT001763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adia N Greer
• Iyona Leanne Griffin
• Savannah Danielle Grunhard, MD
• Madison Essie Guilford
• Mitchell Gullikson, P.T.
• Lacey Hackett, RBT
• Dawn Howell Hadley, LPC
• William Hahn
• Gregory Marc Halbart, PT
• Gina Ann Haldeman, PT, DPT

• Optometrist in Richmond Hill, GA
• Providers in Richmond Hill, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; 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.