Organization Active NPI

Primary Optics Eye Care LLC

Doing business as Primary Optics Eye Care

  • Optometrist
  • McDonough, GA
National Provider Identifier
1891568457
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
PRIMARY OPTICS EYE CARE LLC
Doing business as
Primary Optics Eye Care
Practice address
2245 Jodeco Rd
McDonough, GA 30253-5210
Phone
(440) 413-3947
NPI assigned
Nov 3, 2023
Last updated
Aug 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Authorized official

Name
Dr. William Philip Teknipp, ODNPI 1780316273
Title
Optometrist
Phone
(678) 272-3303

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

2245 Jodeco Rd
McDonough, GA 30253-5210

Mailing address

2245 Jodeco Rd
McDonough, GA 30253-5210
Phone (678) 272-3303

Other names 1

  • Primary Optics Eye Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240109001833 GA Part B Supplier - Clinic/Group Practice 6406207950 Receives reassigned benefits from 1 practitioner
Practice locations: McDonough, GA

National Provider Directory

National Provider Directory

Locations

2245 Jodeco Rd
McDonough, GA 30253
Phone (678) 272-3298

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1698969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754524800000",
    "number": "1891568457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2245 JODECO RD",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302535210",
            "telephone_number": "678-272-3303",
            "fax_number": "678-272-3304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2245 JODECO RD",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302535210",
            "telephone_number": "440-413-3947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY OPTICS EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-03",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A",
        "authorized_official_last_name": "TEKNIPP",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "PHILIP",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "678-272-3303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Primary Optics Eye Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Primary Optics Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McDonough, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; 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.