Eye Care One Laser Vision Center LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EYE CARE ONE LASER VISION CENTER LLC

Practice address

3152 Washington Rd
Augusta, GA 30907-3834

Phone

(706) 651-1291

Fax

(706) 210-8090

NPI assigned

Oct 4, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Tracie L Sponseller, OD

Title

Owner

Phone

(706) 651-1291

Specialties & licenses 1

Addresses

Other names 1

• Eye Care One Doing business as

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241568000000",
    "number": "1821286808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3152 WASHINGTON RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309073834",
            "telephone_number": "706-651-1291",
            "fax_number": "706-210-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3152 WASHINGTON RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309073834",
            "telephone_number": "706-651-1291",
            "fax_number": "706-210-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE ONE LASER VISION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2009-05-06",
        "status": "A",
        "authorized_official_last_name": "SPONSELLER",
        "authorized_official_first_name": "TRACIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-651-1291",
        "authorized_official_name_prefix": "Mrs.",
        "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": "Eye Care One",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2009; 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.