Organization Active NPI

J-Christy Inc

  • Optometrist
  • Winder, GA
National Provider Identifier
1922272020
Registry record updated Jan 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
001031 Issued in GA
Legal business name
J-CHRISTY INC
Practice address
135 N Broad St
Winder, GA 30680-2110
Phone
(678) 425-9415
Fax
(678) 425-9417
NPI assigned
Apr 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2010

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

Authorized official

Name
Dr. John C Snyder, O.D.NPI 1326174400
Title
Owner
Phone
(678) 425-9415

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 001031 GA Primary

Addresses

Primary practice location

135 N Broad St
Winder, GA 30680-2110

Mailing address

135 N Broad St
Winder, GA 30680-2110
Phone (678) 425-9415

Other identifiers 1

IdentifierTypeStateIssuer
000536434BMedicaidGA

Other names 1

  • Winder Family Vision Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080610000095 GA Part B Supplier - Clinic/Group Practice 5890865315 Receives reassigned benefits from 1 practitioner
Practice locations: Winder, GA

National Provider Directory

National Provider Directory

Locations

135 N Broad St
Winder, GA 30680
Phone (404) 401-6699

Practitioners & affiliated clinicians

Practitioners 1

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": "1208476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264032000000",
    "number": "1922272020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 N BROAD ST",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306802110",
            "telephone_number": "678-425-9415",
            "fax_number": "678-425-9417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 N BROAD ST",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306802110",
            "telephone_number": "678-425-9415",
            "fax_number": "678-425-9417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J-CHRISTY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-18",
        "last_updated": "2010-01-21",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-425-9415",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "001031",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000536434B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Winder Family Vision Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winder, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.