Southern Optometrics, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT002396 Issued in GA

Legal business name

SOUTHERN OPTOMETRICS, INC

Doing business as

Buchanan Eye Care

Practice address

402 Courthouse Square
Buchanan, GA 30113-0000

Phone

(770) 646-9100

Fax

(770) 646-0007

NPI assigned

Jul 13, 2007

Last updated

Mar 3, 2009By the provider in NPPES

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.DNPI 1215136296

Title

Doctor/Owner

Phone

(770) 646-9100

Specialties & licenses 1

Addresses

Other names 1

• Buchanan Eye Care Doing business as

Locations

Practitioners 2

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.

• Christopher Evan Cook, OD

  • Optometrist
  • Buchanan, GA
  • NPI 1215136296
  Authorized official Same address or phone
• 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 (Southern Traditions)
• Catherine Anne Thompson, RBT
• TMC Buchanan Family Healthcare Center (Buchanan Medical Clinic)
• Tiffanie Webb Turner, NP
• Villa Rica Eye Care

• Optometrist in Buchanan, GA
• Providers in Buchanan, GA by specialty
• 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.