Laircey Eye Services PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT 002175 Issued in GA

Legal business name

LAIRCEY EYE SERVICES PC

Practice address

820 Hwy 80 E
Statesboro, GA 30461-0800

Phone

(912) 489-3937

NPI assigned

Jul 26, 2007

Organization subpart

No

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

Authorized official

Name

Brent C Laircey, ODNPI 1447286976

Title

President

Phone

(912) 489-3937

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

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

• Brent Coleman Laircey, O.D.

  • Optometrist
  • Statesboro, GA
  • NPI 1447286976
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1831389949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 HWY 80 E",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304610800",
            "telephone_number": "912-489-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 HWY 80 E",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304610800",
            "telephone_number": "912-489-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAIRCEY EYE SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-26",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "LAIRCEY",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "912-489-3937",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT 002175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "GRP6825",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE INDIVIDUAL",
            "identifier": "P00223010",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP",
            "identifier": "DD3540",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Suzanne M Konz, PH.D ATC CSCS
• Luke Daniel Krautter, M.D.
• Tiffany Kreun, ACNP
• Kriss Enterprises, Inc
• Joseph P Kropp, PHD
• Brent Coleman Laircey, O.D.
• Lisa Finch Laircey, PHARMD
• Ashley Lake
• Francis T Lake Jr., M.D.
• Kiersten Lake

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.