NPIMap

Organization Active NPI

Russell D Springer PC

Doing business as Athens Family Vision Clinic

  • Optometrist
  • Athens, GA
National Provider Identifier
1841593175
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
RUSSELL D SPRINGER PC
Doing business as
Athens Family Vision Clinic
Practice address
270 Hawthorne Ave
Athens, GA 30606-2881
Phone
(706) 543-3599
Fax
(706) 543-8681
NPI assigned
Dec 8, 2010
Last updated
Oct 14, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
RUSSELL D. SPRINGER PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Authorized official

Name
Dr. Russell D. Springer, ODNPI 1336123843
Title
Owner
Phone
(706) 543-3599

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

270 Hawthorne Ave
Athens, GA 30606-2881

Mailing address

270 Hawthorne Ave
Athens, GA 30606-2881
Phone (706) 543-3599

Other names 1

  • Athens Family Vision Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101214000744 GA Part B Supplier - Clinic/Group Practice 5698987790 Receives reassigned benefits from 6 practitioners
Practice locations: Athens, GA

National Provider Directory

National Provider Directory
Tax ID family
Russell D Springer PC2 organizations share this tax ID, including this one
Part of
Russell D Springer PC

Other organizations with this tax ID 1

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

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

1000 Hawthorne Ave
Ste A
Athens, GA 30606
Phone (706) 543-3599

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728864000000",
    "number": "1841593175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 HAWTHORNE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062881",
            "telephone_number": "706-543-3599",
            "fax_number": "706-543-8681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 HAWTHORNE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062881",
            "telephone_number": "706-543-3599",
            "fax_number": "706-543-8681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL D SPRINGER PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RUSSELL D. SPRINGER PC",
        "enumeration_date": "2010-12-08",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A",
        "authorized_official_last_name": "SPRINGER",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-543-3599",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Athens Family Vision Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Athens Family Vision Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; 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.