Organization Active NPI

Hobson Eye Associates LLC

  • Optometrist
  • Kennesaw, GA
National Provider Identifier
1942355524
Registry record updated Feb 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT000797 Issued in GA
Legal business name
HOBSON EYE ASSOCIATES LLC
Practice address
1415 Wooten Lake Rd NW Ste 100
Kennesaw, GA 30144-1350
Phone
(770) 424-2020
Fax
(770) 424-8284
NPI assigned
Jan 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2009

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

Authorized official

Name
Dr. Chris Hobson, O.D.
Title
Physician
Phone
(770) 424-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPT000797 GA Primary

Addresses

Primary practice location

1415 Wooten Lake Rd NW Ste 100
Kennesaw, GA 30144-1350

Mailing address

1415 Wooten Lake Rd NW Ste 100
Kennesaw, GA 30144-1350
Phone (770) 424-2020

Other identifiers 1

IdentifierTypeStateIssuer
000230392BMedicaidGA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233792000000",
    "number": "1942355524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 WOOTEN LAKE RD NW STE 100",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301441350",
            "telephone_number": "770-424-2020",
            "fax_number": "770-424-8284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 WOOTEN LAKE RD NW STE 100",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301441350",
            "telephone_number": "770-424-2020",
            "fax_number": "770-424-8284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOBSON EYE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2009-02-05",
        "status": "A",
        "authorized_official_last_name": "HOBSON",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "770-424-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT000797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000230392B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2009; 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.