Active NPI
Hobson Eye Associates LLC
- Optometrist
- Kennesaw, GA
National Provider Identifier
1942355524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT000797
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000230392B | Medicaid | GA |
National Provider Directory
National Provider DirectoryNPI 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.