Tippett Eyecare, PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1296T Issued in GA

Legal business name

TIPPETT EYECARE, PC

Practice address

701 Devika Dr Ste 3
Grovetown, GA 30813-5137

Phone

(762) 222-7104

NPI assigned

Oct 29, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Annette Carraway

Title

Office Manager

Phone

(706) 738-1102

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 2

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

• Timothy K Tippett, OD

  • Optometrist
  • Augusta, GA
  • NPI 1770575649
  NPD
• Courtney Lynn Hegener, OD

  • Optometrist
  • Spartanburg, SC
  • NPI 1679137343
  NPD (past)

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

{
    "created_epoch": "1414540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761004800000",
    "number": "1902201254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2465 WRIGHTSBORO RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309046244",
            "telephone_number": "706-738-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 DEVIKA DR STE 3",
            "city": "GROVETOWN",
            "state": "GA",
            "postal_code": "308135137",
            "telephone_number": "762-222-7104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIPPETT EYECARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-29",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A",
        "authorized_official_last_name": "CARRAWAY",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "706-738-1102",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "1296T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000618549A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "1213300002",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Connor Barnes Thornton-Typhair, LPC
• Sequoyah Kiani Thurmond
• Breena Kathleen Tice, MHS - OTR/L
• Timmber Services LLC
• Timothy W McKenzie MD PC
• Lesley Brown Todd
• Virginia Todd
• Mary Jocelynne Serajose Tolentino, PT
• Toni Denee LLC
• Total Rehab Solution, LLC.

• Optometrist in Grovetown, GA
• Providers in Grovetown, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; 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.