Swainsboro Eye Clinic

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

SWAINSBORO EYE CLINIC

Practice address

342 W Main St
Swainsboro, GA 30401-3104

Phone

(478) 237-5909

Fax

(478) 237-3377

NPI assigned

Feb 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Harley Kemp Jones Jr., OD

Title

Owner

Phone

(706) 551-9553

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599177600000",
    "number": "1912049693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 FRENCH ST",
            "city": "SWAINSBORO",
            "state": "GA",
            "postal_code": "304015523",
            "telephone_number": "706-551-9553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "342 W MAIN ST",
            "city": "SWAINSBORO",
            "state": "GA",
            "postal_code": "304013104",
            "telephone_number": "478-237-5909",
            "fax_number": "478-237-3377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWAINSBORO EYE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "HARLEY",
        "authorized_official_middle_name": "KEMP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-551-9553",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "GA",
            "license": "OPT 000827",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00136804A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1043222805",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2020; 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.