Southern Optometrics, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT002396 Issued in GA

Legal business name

SOUTHERN OPTOMETRICS, INC

Practice address

402 Courthouse Square
Buchanan, GA 30113-0000

Phone

(770) 646-9100

Fax

(770) 646-0007

NPI assigned

Jul 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Christopher E Cook, O.D

Title

Doctor/Owner

Phone

(770) 646-9100

Specialties & licenses 1

Addresses

Other names 1

• Buchanan Eye Care Doing business as

Locations

Practitioners 1

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

• Krista J Stapleton, O.D.

  • Optometrist
  • Carrollton, GA
  • NPI 1275772055
  NPD (past)

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236038400000",
    "number": "1902005507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 COURTHOUSE SQUARE",
            "city": "BUCHANAN",
            "state": "GA",
            "postal_code": "301130000",
            "telephone_number": "770-646-9100",
            "fax_number": "770-646-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 COURTHOUSE SQUARE",
            "city": "BUCHANAN",
            "state": "GA",
            "postal_code": "301130000",
            "telephone_number": "770-646-9100",
            "fax_number": "770-646-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN OPTOMETRICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-13",
        "last_updated": "2009-03-03",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "770-646-9100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Buchanan Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Timothy J Pardoe, P.A.-C.
• Janet L Ross, RN, FNP-C
• Kelly Mackenzie Sams, PTA
• Joseph Sebastian, MD
• Solutions Community Services, Inc.
• Sovereign Healthcare of Buchanan, LLC
• Catherine Anne Thompson, RBT
• TMC Buchanan Family Healthcare Center
• Tiffanie Webb Turner, NP
• Villa Rica Eye Care

• All providers in Buchanan, GA
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2009; 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.