Eye Guys Carolina LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EYE GUYS CAROLINA LLC

Practice address

1330 Interstate Pkwy
Augusta, GA 30909-5625

Phone

(706) 651-3905

Fax

(706) 651-2032

NPI assigned

Mar 17, 2021

Organization subpart

Yes

Parent organization

EYE GUYS CAROLINA LLCAs reported in NPPES

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

Authorized official

Name

Wendy Burmeister

Title

Administrator

Phone

(706) 651-2020

Specialties & licenses 1

Addresses

Other names 1

• Eye Guys Carolina- GA OD's Other name

Part of

Eye Guys Carolina LLC

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

{
    "created_epoch": "1615939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615939200000",
    "number": "1962087270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 INTERSTATE PKWY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309095625",
            "telephone_number": "706-651-3905",
            "fax_number": "706-651-2032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 INTERSTATE PKWY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309095625",
            "telephone_number": "706-651-3905",
            "fax_number": "706-651-2032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE GUYS CAROLINA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EYE GUYS CAROLINA LLC",
        "enumeration_date": "2021-03-17",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A",
        "authorized_official_last_name": "BURMEISTER",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "706-651-2020"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Guys Carolina- GA OD's",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Optometrist in Augusta, GA
• Providers in Augusta, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; 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.