NPIMap

Organization Active NPI

Georgia Family Eyecare LLC

Doing business as Brown's Eye Center

  • Optometrist
  • Kathleen, GA
National Provider Identifier
1922451913
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT002845 Issued in GA
Legal business name
GEORGIA FAMILY EYECARE LLC
Doing business as
Brown's Eye Center
Practice address
678 Lake Joy Rd.
Suite B
Kathleen, GA 31047
Phone
(478) 328-0900
Fax
(478) 328-2911
NPI assigned
Jul 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Authorized official

Name
Dr. Navid Reza Khoshooee, ODNPI 1689079451
Title
Owner
Phone
(407) 749-8670

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 OPT002845 GA Primary

Addresses

Primary practice location

678 Lake Joy Rd.
Suite B
Kathleen, GA 31047

Mailing address

1112 Russell Pkwy
Suite C
Warner Robins, GA 31088-1816
Phone (478) 328-0900

Other names 1

  • Brown's Eye Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161006001281 GA Part B Supplier - Clinic/Group Practice 6103114103 Receives reassigned benefits from 4 practitioners
Practice locations: Kathleen, GA; Warner Robins, GA

National Provider Directory

National Provider Directory
Tax ID family
Brown's Eye Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1012 GA Highway 96
Ste 300
Warner Robins, GA 31088
Phone (478) 287-6600

Practitioners & affiliated clinicians

Practitioners 5

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": "1468454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734480000000",
    "number": "1922451913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 RUSSELL PKWY",
            "address_2": "SUITE C",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310881816",
            "telephone_number": "478-328-0900",
            "fax_number": "478-328-2911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "678 LAKE JOY RD.",
            "address_2": "SUITE B",
            "city": "KATHLEEN",
            "state": "GA",
            "postal_code": "31047",
            "telephone_number": "478-328-0900",
            "fax_number": "478-328-2911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA FAMILY EYECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-14",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A",
        "authorized_official_last_name": "KHOSHOOEE",
        "authorized_official_first_name": "NAVID",
        "authorized_official_middle_name": "REZA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-749-8670",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brown's Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kathleen, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; 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.