Organization Active NPI

Nelms Eyecare, P.C.

  • Medical Specialty Clinic/Center
  • Watkinsville, GA
National Provider Identifier
1952761694
Registry record updated Feb 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
OPT2905 Issued in GA
Legal business name
NELMS EYECARE, P.C.
Practice address
1011 Stonebridge Pkwy
Ste. 106
Watkinsville, GA 30677-6011
Phone
(706) 310-5050
Fax
(706) 310-5053
NPI assigned
Feb 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2016

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

Authorized official

Name
Dr. Brandon Van Nelms, O.D.NPI 1235442302
Title
President
Phone
(706) 310-5050

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
Medical Specialty Clinic/Center 261QM2500X OPT2905 GA Primary

Addresses

Primary practice location

1011 Stonebridge Pkwy
Ste. 106
Watkinsville, GA 30677-6011

Mailing address

1011 Stonebridge Pkwy
Ste. 106
Watkinsville, GA 30677-6011
Phone (706) 310-5050

Other names 1

  • Advanced Eyecare Optical of Oconee Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160826002084 GA Part B Supplier - Clinic/Group Practice 7517250343 Receives reassigned benefits from 1 practitioner
Practice locations: Watkinsville, GA

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: bnelmsod@adecoptoconee.eyefinity-direct.com

Practitioners & affiliated clinicians

Practitioners 2

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": "1456185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456185600000",
    "number": "1952761694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 STONEBRIDGE PKWY",
            "address_2": "STE. 106",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306776011",
            "telephone_number": "706-310-5050",
            "fax_number": "706-310-5053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 STONEBRIDGE PKWY",
            "address_2": "STE. 106",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306776011",
            "telephone_number": "706-310-5050",
            "fax_number": "706-310-5053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELMS EYECARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-23",
        "last_updated": "2016-02-23",
        "status": "A",
        "authorized_official_last_name": "NELMS",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "VAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-310-5050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "GA",
            "license": "OPT2905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Eyecare Optical of Oconee",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Watkinsville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; 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.