NPIMap

Organization Active NPI

Ray Popham OD

  • Optometrist
  • Cedartown, GA
National Provider Identifier
1881862522
Registry record updated Mar 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT000864 Issued in GA
Legal business name
RAY POPHAM OD
Practice address
206 Main St
Cedartown, GA 30125-3040
Phone
(770) 748-2443
Fax
(770) 748-8885
NPI assigned
Feb 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2008

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

Authorized official

Name
Dr. Charles Ray Popham, O.D.
Title
Owner
Phone
(770) 748-2443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPT000864 GA Primary

Addresses

Primary practice location

206 Main St
Cedartown, GA 30125-3040

Mailing address

206 Main St
Cedartown, GA 30125-3040
Phone (770) 748-2443

National Provider Directory

National Provider Directory

Locations

206 Main St
Cedartown, GA 30125
Phone (770) 748-2443

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205107200000",
    "number": "1881862522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 MAIN ST",
            "city": "CEDARTOWN",
            "state": "GA",
            "postal_code": "301253040",
            "telephone_number": "770-748-2443",
            "fax_number": "770-748-8885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 MAIN ST",
            "city": "CEDARTOWN",
            "state": "GA",
            "postal_code": "301253040",
            "telephone_number": "770-748-2443",
            "fax_number": "770-748-8885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAY POPHAM OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-15",
        "last_updated": "2008-03-10",
        "status": "A",
        "authorized_official_last_name": "POPHAM",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-748-2443",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT000864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedartown, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; 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.