Athens Eye Care LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

ATHENS EYE CARE LLC

Doing business as

Thomas Eye Center

Practice address

1077 Baxter St Ste 100
Athens, GA 30606-3767

Phone

(706) 549-7757

Fax

(706) 549-7757

NPI assigned

Jun 7, 2024

Last updated

Aug 1, 2024By 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

Mrs. Ellen Goad

Title

Practice Manager

Phone

(706) 549-7757

Specialties & licenses 1

Addresses

Other names 1

• Thomas Eye Center Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 3

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.

• Stuart Jackson Thomas, OD

  • Optometrist
  • Athens, GA
  • NPI 1568436186
  Medicare reassignment Care Compare group NPD
• Kajene Thasan Vethanayagam, O.D.

  • Optometrist
  • Athens, GA
  • NPI 1407412471
  Medicare reassignment Care Compare group NPD
• Sampson Listowell Abu, OD

  • Optometrist
  • Atlanta, GA
  • NPI 1982433645
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1717718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722470400000",
    "number": "1871335240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1077 BAXTER ST STE 100",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306063767",
            "telephone_number": "706-549-7757",
            "fax_number": "706-549-7757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1077 BAXTER ST STE 100",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306063767",
            "telephone_number": "706-549-7757",
            "fax_number": "706-549-7757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHENS EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-07",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A",
        "authorized_official_last_name": "GOAD",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "PRACTICE  MANAGER",
        "authorized_official_telephone_number": "706-549-7757",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thomas Eye Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Thomas Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Athens Dentistry for Children
• Athens Diabetes and Endocrinology
• Athens Discount Drugs Inc (Add Drug)
• Athens Dublin Area Dermatology, PC (Athens Area Dermatology)
• Athens Endoscopy, LLC
• Athens Eye Consultants LLC
• Athens Eye Surgery Center,LLC
• Athens Family Foot Care
• Athens Family Medicine
• Athens Family Medicine LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.