NPIMap

Organization Active NPI

Morris Opticians and Hearing Aid Center

  • Hearing Instrument Specialist
  • Martinez, GA
National Provider Identifier
1962576165
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
Legal business name
MORRIS OPTICIANS AND HEARING AID CENTER
Practice address
3839 Washington Road
Martinez, GA 30907-5178
Phone
(706) 860-9800
Fax
(706) 860-9209
NPI assigned
Nov 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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

Authorized official

Name
Mildred T Tisdale, D.O
Title
Ins Claims Admin
Phone
(803) 564-5340

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 237700000X Primary
Durable Medical Equipment & Medical Supplies 332B00000X 643 GA
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

3839 Washington Road
Martinez, GA 30907-5178

Mailing address

3839 Washington Road
Martinez, GA 30907-5178
Phone (706) 860-9800

National Provider Directory

National Provider Directory

Locations

3839 Washington Rd
Martinez, GA 30907
Phone (706) 860-9800

Practitioners & affiliated clinicians

Practitioners 1

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": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662422400000",
    "number": "1962576165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3839 WASHINGTON ROAD",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309075178",
            "telephone_number": "706-860-9800",
            "fax_number": "706-860-9209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3839 WASHINGTON ROAD",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309075178",
            "telephone_number": "706-860-9800",
            "fax_number": "706-860-9209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORRIS OPTICIANS AND HEARING AID CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A",
        "authorized_official_last_name": "TISDALE",
        "authorized_official_first_name": "MILDRED",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "INS CLAIMS ADMIN",
        "authorized_official_telephone_number": "803-564-5340",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "643",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinez, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.

Verify at the official NPI Registry.