Organization Active NPI

Pierre K. Vinh, O.D., P.C.

  • Optometrist
  • Macon, GA
National Provider Identifier
1962669879
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT002267 Issued in GA
Legal business name
PIERRE K. VINH, O.D., P.C.
Practice address
5080 Riverside Dr
Suite 400
Macon, GA 31210-1100
Phone
(478) 474-3330
Fax
(478) 474-3722
NPI assigned
May 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Authorized official

Name
Dr. Pierre K Vinh, O.D.NPI 1609845536
Title
Ceo/President/Owner
Phone
(845) 235-3665

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPT002267 GA Primary

Addresses

Primary practice location

5080 Riverside Dr
Suite 400
Macon, GA 31210-1100

Mailing address

5243 Riverside Dr
Suite 210
Macon, GA 31210-8803
Phone (845) 235-3665

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080612000628 GA Part B Supplier - Clinic/Group Practice 5395816748 Receives reassigned benefits from 1 practitioner
Practice locations: Macon, GA

National Provider Directory

National Provider Directory

Locations

6443 Zebulon Rd
Ste 3C
Macon, GA 31220

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": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1962669879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5243 RIVERSIDE DR",
            "address_2": "SUITE 210",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312108803",
            "telephone_number": "845-235-3665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5080 RIVERSIDE DR",
            "address_2": "SUITE 400",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101100",
            "telephone_number": "478-474-3330",
            "fax_number": "478-474-3722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIERRE K. VINH, O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "VINH",
        "authorized_official_first_name": "PIERRE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO/PRESIDENT/OWNER",
        "authorized_official_telephone_number": "845-235-3665",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; 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.