Active NPI
Cairo Eye Care, LLC
- Optometrist
- Cairo, GA
National Provider Identifier
1891830873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT000803
- Legal business name
- CAIRO EYE CARE, LLC
- Practice address
- 321 N Broad St
Cairo, GA 39828-2110 - Phone
- (229) 377-5432
- Fax
- (229) 377-5012
- NPI assigned
- Feb 20, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. William Ronald Spooner, O.D.
- Title
- Member
- Phone
- (229) 377-5432
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT000803 | GA | Primary |
Addresses
Primary practice location
321 N Broad St
Cairo, GA 39828-2110
Mailing address
321 N Broad St
P. O. Box 487
Cairo, GA 39828-2110
Phone (229) 377-5432
Other names 1
- Cairo Eye Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040322001180 | GA | Part B Supplier - Clinic/Group Practice | 3870484637 |
Receives reassigned benefits from 3 practitioners Practice locations: Cairo, GA |
National Provider Directory
National Provider DirectoryLocations
321 N Broad St
Cairo, GA 39828
Phone (229) 377-5432
Practitioners & affiliated clinicians
Practitioners 3
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": "1171929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1345507200000",
"number": "1891830873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 N BROAD ST",
"address_2": "P. O. BOX 487",
"city": "CAIRO",
"state": "GA",
"postal_code": "398282110",
"telephone_number": "229-377-5432",
"fax_number": "229-377-5012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 N BROAD ST",
"city": "CAIRO",
"state": "GA",
"postal_code": "398282110",
"telephone_number": "229-377-5432",
"fax_number": "229-377-5012"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAIRO EYE CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-20",
"last_updated": "2012-08-21",
"status": "A",
"authorized_official_last_name": "SPOONER",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "RONALD",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "229-377-5432",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "GA",
"license": "OPT000803",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Cairo Eye Care",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Cairo, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; 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.