West Georgia Optical, LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

001254 Issued in GA

Legal business name

WEST GEORGIA OPTICAL, LLC

Practice address

2616 Warm Springs Rd
Suite a
Columbus, GA 31904-5323

Phone

(706) 323-0149

Fax

(706) 660-9191

NPI assigned

Nov 8, 2007

Last updated

Oct 5, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

WEST GEORGIA EYE CARE CENTERAs reported in NPPES

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

Authorized official

Name

Mr. Mark Holloway

Title

President

Phone

(706) 323-3491

Specialties & licenses 8

Addresses

Other names 1

• West Georgia Optical, Inc Former legal business name

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• West Georgia Eye Care Center, PA

  • Ophthalmology Physician
  • Columbus, GA
  • NPI 1699868265
  NPPES parent name

Practitioners 5

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.

• James G Brooks Jr., M.D.

  • Ophthalmology Physician
  • Columbus, GA
  • NPI 1194788687
  NPD (past)
• Charles L Calhoun, M.D.

  • Ophthalmology Physician
  • Columbus, GA
  • NPI 1518920529
  NPD (past)
• Sterling L Cannon, M.D.

  • Ophthalmology Physician
  • Columbus, GA
  • NPI 1447278106
  NPD (past)
• Bret Crumpton, D.O.

  • Ophthalmology Physician
  • Columbus, GA
  • NPI 1437112935
  NPD (past)
• Mark P Smith, O.D.

  • Optometrist
  • Columbus, GA
  • NPI 1124046735
  NPD (past)

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664928000000",
    "number": "1871773788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2616 WARM SPRINGS RD",
            "address_2": "SUITE A",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319045323",
            "telephone_number": "706-323-0149",
            "fax_number": "706-660-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2616 WARM SPRINGS RD",
            "address_2": "SUITE A",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319045323",
            "telephone_number": "706-323-0149",
            "fax_number": "706-660-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST GEORGIA OPTICAL, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WEST GEORGIA EYE  CARE CENTER",
        "enumeration_date": "2007-11-08",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A",
        "authorized_official_last_name": "HOLLOWAY",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-323-3491",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "GA",
            "license": "001254",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "GA",
            "license": "030005",
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "GA",
            "license": "017594",
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "GA",
            "license": "034249",
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "GA",
            "license": "039057",
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "GA",
            "license": "047418",
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "GA",
            "license": "049643",
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "GA",
            "license": "054799",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Georgia Optical, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• West Georgia Pediatric Partners, LLC
• West Georgia Regenerative Medicine LLC
• Brittany Reese West, DPT
• Makiya West

• Eyewear Supplier in Columbus, GA
• Providers in Columbus, GA by specialty
• Eyewear Supplier in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; 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.