Athens Eye Associates

Primary specialty

SpecialistTaxonomy code 174400000X

License

053926 Issued in GA

Legal business name

ATHENS EYE ASSOCIATES

Practice address

1080 Vend Dr
Suite 100
Watkinsville, GA 30677-7751

Phone

(706) 549-7047

Fax

(706) 613-5395

NPI assigned

Jul 1, 2006

Last updated

Sep 10, 2014By 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

Michael S Jacobs, M.D.NPI 1164495693

Title

Owner

Phone

(706) 549-7047

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Michael Scott Jacobs, M.D.

  • Ophthalmology Physician
  • Watkinsville, GA
  • NPI 1164495693
  Authorized official Same address or phone

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410307200000",
    "number": "1871522045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 VEND DR",
            "address_2": "SUITE 100",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306777751",
            "telephone_number": "706-549-7047",
            "fax_number": "706-613-5395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 VEND DR",
            "address_2": "SUITE 100",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306777751",
            "telephone_number": "706-549-7047",
            "fax_number": "706-613-5395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHENS EYE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2014-09-10",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-549-7047",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "053926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD RETIREMENT",
            "identifier": "P00131029",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Athens Cardiac Clinic PC
• Athens Dental Group LLC (Aesthetic Dental Associates)
• Athens Dermatology Group PC
• Athens Digestive Endoscopy Center
• Athens Digestive Healthcare Associates
• Athens GPR LLC (Athens GPR)
• Athens Oconee Audiology LLC
• Athens Orthopedic Clinic, PA
• Athens Prep & Sexual Health, LLC
• Athens Regional Physician Services

• Specialist in Watkinsville, GA
• Providers in Watkinsville, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2014; 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.