Dr Tim Sellers, Optometrist

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

3926840001 Issued in GA

Legal business name

DR TIM SELLERS, OPTOMETRIST

Doing business as

Family Vision Care

Practice address

500 N Parrish Ave
Adel, GA 31620-2036

Phone

(229) 896-4596

Fax

(229) 896-5437

NPI assigned

Mar 18, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Tim M Sellers, O.D.NPI 1669539045

Title

Optometrist/Owner

Phone

(229) 896-4596

Specialties & licenses 1

Addresses

Other names 1

• Family Vision 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, and the practitioner matching its NPPES authorized official.

• Tim Markam Sellers, O.D.

  • Optometrist
  • Adel, GA
  • NPI 1669539045
  Authorized official Same address or phone

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205798400000",
    "number": "1902077977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N PARRISH AVE",
            "city": "ADEL",
            "state": "GA",
            "postal_code": "316202036",
            "telephone_number": "229-896-4596",
            "fax_number": "229-896-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N PARRISH AVE",
            "city": "ADEL",
            "state": "GA",
            "postal_code": "316202036",
            "telephone_number": "229-896-4596",
            "fax_number": "229-896-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR TIM SELLERS, OPTOMETRIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2008-03-18",
        "status": "A",
        "authorized_official_last_name": "SELLERS",
        "authorized_official_first_name": "TIM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "229-896-4596",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "GA",
            "license": "3926840001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Vision Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Eyewear Supplier in Adel, GA
• Providers in Adel, GA by specialty
• Eyewear Supplier in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.