DR. HUMBERTO C. FALLAS (NPI# 1093926495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093926495 |
| Entity Type | Individual |
| Full Name | DR. HUMBERTO C. FALLAS |
| Credential | O.D. |
| Practice Address |
69 Griffin St Mcdonough GA 30253-3138 |
| Practice Telephone | 7709549898 |
| Practice Fax Number | 7709549147 |
| Mailing Telephone | 7709549898 |
| Mailing Fax Number | 7709549147 |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2019-04-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | OD00003708 | WA | Eye and Vision Services Providers |
| Y | 152W00000X | Optometrist | OPT001975 | GA | Eye and Vision Services Providers |
| Street Address |
69 GRIFFIN ST |
| City | MCDONOUGH |
| State | GA |
| Zip Code | 30253-3138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346436961 | Humberto Fallas P.C. | Optometrist | 69 Griffin St, Mcdonough, GA 30253-3138 | 2007-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565159 | First Choice Home Health Care LLC | In Home Supportive Care | 600 Westridge Parkway, Suite 707, Mcdonough, GA 30253 | 2020-10-15 |
| 1164033783 | Tanequa S Dorsey | Counselor | 40 Macon Street, Suite D, Mcdonough, GA 30253 | 2020-08-17 |
| 1396369195 | Ikponmwosa Obakpolor | Physical Therapist | 234 Village Drive, Mcdonough, GA 30253 | 2020-06-08 |
| 1205392305 | Healthstat Onsite Clinic-henry County | Preventive Medicine | 141 Henry Parkway, Healthstat Clinic, Mcdonough, GA 30253 | 2019-02-13 |
| 1588128557 | Vernette R Mathurin | Licensed Practical Nurse | 97 Atl Street Suite 100, Mcdonough, GA 30253 | 2019-01-24 |
| 1083196836 | Peta-gaye C Pilote | Registered Nurse | 319 Regal Way E, Mcdonough, GA 30253 | 2018-08-29 |
| 1275021586 | Heritage Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 155 Westridge Pkwy Ste 217, Mcdonough, GA 30253 | 2018-04-23 |
| 1457853236 | Sherrille Greene | Counselor | 609 Autumn Leaf Circle, Mcdonough, GA 30253 | 2018-03-07 |
| 1376052696 | Kendra Oreggio | Private Vehicle | 117 Janney Circle, Mcdonough, GA 30253 | 2017-09-29 |
| 1245758788 | Pamela Hobbs | Home Health Aide | 5011 Monarch Dr, Mcdonough, GA 30253 | 2017-09-05 |
| Find all providers in zip 30253 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497210009 | Vladislav Ivanchenko | Optometrist | 1128 Highway 20 W Ste A, Mcdonough, GA 30253-6520 | 2019-02-07 |
| 1366854150 | Avalon Vision Center Inc | Optometrist | 1042 Avalon Parkway, Mcdonough, GA 30253 | 2014-05-28 |
| 1780859579 | Macon Eyecare Associates Inc | Optometrist | 1385 Highway 20 W, Mcdonough, GA 30253-7304 | 2008-04-23 |
| 1588865885 | Envision Family Eyecare LLC | Optometrist | 414 Highway 155 S, Mcdonough, GA 30253-6623 | 2007-05-31 |
| 1952422198 | 20-20 Optical, Inc. | Optometrist | 2025 Jonesboro Rd, Mcdonough, GA 30253 | 2007-04-03 |
| 1124183371 | Scot M Werner | Optometrist | 1044 Avalon Pkwy, Mcdonough, GA 30253-7661 | 2006-12-27 |
| 1730144908 | James Elbert Adams Jr. | Optometrist | 183 Keys Ferry St, Suite A, Mcdonough, GA 30253-3232 | 2006-04-19 |
| 1316590995 | Joelle Jean-jacques | Optometrist | 1128 Highway 20 W Ste A, Mcdonough, GA 30253-6520 | 2019-07-22 |
| 1790288850 | Myeyedr Optometry of Georgia, LLC | Optometrist | 1044 Avalon Pkwy, Mcdonough, GA 30253-7661 | 2018-03-15 |
| 1427502368 | Sarah Jones | Optometrist | 1044 Avalon Pkwy, Mcdonough, GA 30253-7661 | 2016-08-09 |
| Find all providers in MCDONOUGH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.