Organization Active NPI

Battlefield Optical Dispensary

  • Eyewear Supplier
  • Fort Oglethorpe, GA
National Provider Identifier
1962561928
Registry record updated Jan 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
BATTLEFIELD OPTICAL DISPENSARY
Practice address
1052 Battlefield Pkwy
Ft Oglethorpe, GA 30742-3948
Phone
(706) 866-2020
Fax
(706) 866-6890
NPI assigned
Dec 6, 2006
Last updated
Jan 28, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2013

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

Authorized official

Name
Mr. Edwin T Hulse, MD
Title
Owner
Phone
(706) 866-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X NU Primary

Addresses

Primary practice location

1052 Battlefield Pkwy
Ft Oglethorpe, GA 30742-3948

Mailing address

1052 Battlefield Parkway
Ft Oglethorpe, GA 30742
Phone (706) 866-2020

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359331200000",
    "number": "1962561928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1052 BATTLEFIELD PARKWAY",
            "city": "FT OGLETHORPE",
            "state": "GA",
            "postal_code": "30742",
            "telephone_number": "706-866-2020",
            "fax_number": "706-866-6890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1052 BATTLEFIELD PKWY",
            "city": "FT OGLETHORPE",
            "state": "GA",
            "postal_code": "307423948",
            "telephone_number": "706-866-2020",
            "fax_number": "706-866-6890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BATTLEFIELD OPTICAL DISPENSARY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2013-01-28",
        "status": "A",
        "authorized_official_last_name": "HULSE",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-866-2020",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Oglethorpe, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; 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.