Tzyecl, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

001422 Issued in GA

Legal business name

TZYECL, INC

Practice address

4469 Washington Rd.
Evans, GA 30809

Phone

(706) 854-7779

NPI assigned

Dec 26, 2007

Last updated

Dec 26, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gregory M Fowler, ODNPI 1326215559

Title

President

Phone

(706) 951-1058

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gregory M Fowler, OD

  • Optometrist
  • Evans, GA
  • NPI 1326215559
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198627200000",
    "number": "1992989958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "893 WINDMILL LN",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308096668",
            "telephone_number": "706-951-1058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4469 WASHINGTON RD.",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "30809",
            "telephone_number": "706-854-7779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TZYECL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-26",
        "last_updated": "2007-12-26",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-951-1058",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "001422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Marie Tucker, NP-C
• Virginia Marie Tucker, FNP
• Saraann Tully, COTA
• Eric Kwesi Tutu, PMHNP
• Kimberly Renee Tyler, OTR/L
• Ruj Ujjin, M.D.
• Haley Morgan Umapathy, PA-C
• Caroline Laboon Underwood, FNP-C
• Unihealth Solutions, Inc. (UniHealth Solutions of Augusta)
• University Extended Care Inc (Westwood Nursing Home)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2007; 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.