Active NPI
Myeyedr Optometry of Georgia, LLC
- Optometrist
- Thomasville, GA
National Provider Identifier
1942755087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- MYEYEDR OPTOMETRY OF GEORGIA, LLC
- Practice address
- 102 S Dawson St
Thomasville, GA 31792-5185 - Phone
- (229) 226-9190
- NPI assigned
- Aug 18, 2016
- Last updated
- May 26, 2022
- 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
- Sue Downes
- Title
- Secretary
- Phone
- (703) 847-8899
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
102 S Dawson St
Thomasville, GA 31792-5185
Mailing address
8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899
National Provider Directory
National Provider Directory- Tax ID family
- Myeyedr Optometry of Georgia LLC
Other organizations with this tax ID 43
Organizations that report the same tax identification number in the National Provider Directory.
Locations
102 S Dawson St
Thomasville, GA 31792
Phone (229) 226-9190
Practitioners & affiliated clinicians
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.
-
- Optometrist
- Thomasville, GA
- NPI 1053417956
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471478400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1653523200000",
"number": "1942755087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8614 WESTWOOD CENTER DR FL 9",
"city": "VIENNA",
"state": "VA",
"postal_code": "221822442",
"telephone_number": "703-847-8899",
"fax_number": "571-223-6780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 S DAWSON ST",
"city": "THOMASVILLE",
"state": "GA",
"postal_code": "317925185",
"telephone_number": "229-226-9190"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MYEYEDR OPTOMETRY OF GEORGIA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-18",
"last_updated": "2022-05-26",
"certification_date": "2022-05-26",
"status": "A",
"authorized_official_last_name": "DOWNES",
"authorized_official_first_name": "SUE",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "703-847-8899"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Thomasville, GA
- My Ideal Care, LLC
- My Ideal Care, LLC
- Priscilla Myers
- Myeyedr Optometry of Georgia, LLC (MyEyeDr.)
- Myeyedr Optometry of Georgia, LLC (MyEyeDr.)
- National Vision Inc (America's Best Contacts & Eyeglasses)
- National Vision, Inc.
- Nephrology Consultants, Inc., PC
- Nephrology Medical Associates of Georgia LLC (Georgia Kidney & Hypertension Clinic)
- New Day Counseling LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.