Eye Associates of Valdosta

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

EYE ASSOCIATES OF VALDOSTA

Doing business as

EYE ASSOCIATES OF SOUTH GA LLP

Practice address

3024 N Patterson St
Valdosta, GA 31602-1711

Phone

(229) 247-4114

Fax

(229) 245-9042

NPI assigned

Aug 21, 2006

Organization subpart

No

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

Authorized official

Name

Vickie L Byrd

Title

Manager

Phone

(229) 316-2036

Specialties & licenses 2

Addresses

Other names 1

• EYE ASSOCIATES OF SOUTH GA LLP Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Robert Smith Gentile, OD

  • Optometrist
  • Waycross, GA
  • NPI 1932194313
  Medicare reassignment NPD
• Albert Gonzalez-Acevedo, M.D.

  • Ophthalmology Physician
  • Valdosta, GA
  • NPI 1780681544
  Medicare reassignment NPD

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330387200000",
    "number": "1851406342",
    "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",
            "fax_number": "229-245-9042"
        },
        {
            "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",
            "fax_number": "229-245-9042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE ASSOCIATES OF VALDOSTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2012-02-28",
        "status": "A",
        "authorized_official_last_name": "BYRD",
        "authorized_official_first_name": "VICKIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "229-316-2036"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EYE ASSOCIATES OF SOUTH GA LLP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yoscatirin Evans, PHARMD
• Thomas C Everett Sr.
• Evolve Therapy Solutions LLC
• Ashley Exum, WHNP-BC
• Michael Shane Exum
• Eye Center Optical, LLC
• Eyeassociates Surgery Center, Inc
• Family Home Medical Equipment & Supplies, LLC
• Family Insight, LLC
• Family Journeys, LLC

• Ophthalmology Physician in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Ophthalmology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.