Georgia-Florida Eye Centers, P.C.

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

LDO000362 Issued in GA

Legal business name

GEORGIA-FLORIDA EYE CENTERS, P.C.

Doing business as

Moultrie Optical
Valdosta Optical

Practice address

2375 S Main St
Moultrie, GA 31768-6517

Phone

(229) 891-2020

Fax

(229) 890-7741

NPI assigned

Jul 17, 2006

Last updated

Dec 29, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

GEORGIA-FLORIDA EYE CENTERS, P.C.As reported in NPPES

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

Authorized official

Name

Elizabeth Law

Title

Office Manager

Phone

(229) 226-6000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• MOULTRIE OPTICAL Doing business as
• Valdosta Optical Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Georgia-Florida Eye Centers, P.C.

  dba Thomasville Eye Center

  • Ophthalmology Physician
  • Thomasville, GA
  • NPI 1386661932

  4385633239

  Same PAC ID
• Georgia-Florida Eye Centers, P.C.

  dba Thomasville Optical

  • Eyewear Supplier
  • Thomasville, GA
  • NPI 1891341525

  4385633239

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Georgia-Florida Eye Centers3 organizations share this tax ID, including this one

Part of

Georgia-Florida Eye Centers

Other organizations with this tax ID 2

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

• Georgia-Florida Eye Centers, P.C.

  dba Thomasville Eye Center

  • Ophthalmology Physician
  • Thomasville, GA
  • NPI 1386661932
  NPD tax ID
• Georgia-Florida Eye Centers, P.C.

  dba Thomasville Optical

  • Eyewear Supplier
  • Thomasville, GA
  • NPI 1891341525
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Terrence Croyle, M.D.

  • Ophthalmology Physician
  • Moultrie, GA
  • NPI 1407873060
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672272000000",
    "number": "1932126455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2282 E PINETREE BLVD",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317924807",
            "telephone_number": "229-226-6000",
            "fax_number": "229-226-5859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2375 S MAIN ST",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317686517",
            "telephone_number": "229-891-2020",
            "fax_number": "229-890-7741"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2282 E Pinetree Blvd",
            "address_purpose": "LOCATION",
            "city": "Thomasville",
            "state": "GA",
            "postal_code": "317924807",
            "country_code": "US",
            "telephone_number": "229-226-6000 x150",
            "fax_number": "229-226-5859",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3404 Greystone Way",
            "address_purpose": "LOCATION",
            "city": "Valdosta",
            "state": "GA",
            "postal_code": "316051048",
            "country_code": "US",
            "telephone_number": "229-588-4545",
            "fax_number": "229-588-4001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GEORGIA-FLORIDA EYE CENTERS, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GEORGIA-FLORIDA EYE CENTERS, P.C.",
        "enumeration_date": "2006-07-17",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A",
        "authorized_official_last_name": "LAW",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "229-226-6000"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "GA",
            "license": "LDO000362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000479696A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MOULTRIE OPTICAL",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MOULTRIE OPTICAL",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Valdosta Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Eyewear Supplier in Moultrie, GA
• Providers in Moultrie, GA by specialty
• Eyewear Supplier in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.