Organization Active NPI

Mobley Eye Care of Sharpsburg

  • Optometrist
  • Sharpsburg, GA
National Provider Identifier
1902145873
Registry record updated Feb 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT000912 Issued in GA
Legal business name
MOBLEY EYE CARE OF SHARPSBURG
Practice address
3339 Highway 34 E
Sharpsburg, GA 30277-3564
Phone
(770) 304-2025
NPI assigned
Feb 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2013

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

Authorized official

Name
Angel Haynes
Title
Manager
Phone
(770) 304-2025

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPT000912 GA Primary

Addresses

Primary practice location

3339 Highway 34 E
Sharpsburg, GA 30277-3564

Mailing address

3339 Highway 34 E
Sharpsburg, GA 30277-3564
Phone (770) 304-2025

National Provider Directory

National Provider Directory

Locations

539 Glynn St N
Fayetteville, GA 30214
Phone (678) 817-7722

Practitioners & affiliated clinicians

Practitioners 2

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": "1360627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360627200000",
    "number": "1902145873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3339 HIGHWAY 34 E",
            "city": "SHARPSBURG",
            "state": "GA",
            "postal_code": "302773564",
            "telephone_number": "770-304-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3339 HIGHWAY 34 E",
            "city": "SHARPSBURG",
            "state": "GA",
            "postal_code": "302773564",
            "telephone_number": "770-304-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBLEY EYE CARE OF SHARPSBURG",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-12",
        "last_updated": "2013-02-12",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "770-304-2025"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT000912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sharpsburg, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2013; 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.