Middle Georgia Oculoplastics

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

053597 Issued in GA

Legal business name

MIDDLE GEORGIA OCULOPLASTICS

Practice address

211 Main St
Barnesville, GA 30204-1469

Phone

(478) 845-3515

Fax

(478) 845-3516

NPI assigned

Apr 6, 2012

Last updated

Jul 5, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Byron Deen, MD

Title

Owner

Phone

(478) 845-3515

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1333670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341446400000",
    "number": "1851657589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 MAIN ST",
            "city": "BARNESVILLE",
            "state": "GA",
            "postal_code": "302041469",
            "telephone_number": "478-845-3515",
            "fax_number": "478-845-3516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 MAIN ST",
            "city": "BARNESVILLE",
            "state": "GA",
            "postal_code": "302041469",
            "telephone_number": "478-845-3515",
            "fax_number": "478-845-3516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLE GEORGIA OCULOPLASTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-06",
        "last_updated": "2012-07-05",
        "status": "A",
        "authorized_official_last_name": "DEEN",
        "authorized_official_first_name": "BYRON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-845-3515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "053597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McIntosh Trail Community Service Board (Lamar County Counseling Center)
• McIntosh Trail CSB
• McIntosh Trail CSB
• Medical Supplies on Main Street
• Mid Georgia Chiropractic
• Briana Moore
• Shaneika Levette Murphy, RBT
• Sarah O'Dell
• Stanley Nnamdi Ogwotu, PHARMD
• Palmetto Health Council Inc (YourTown Health)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2012; 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.