PRIMARY EYECARE (NPI# 1114110574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114110574 |
| Entity Type | Organization |
| Organization Name | PRIMARY EYECARE |
| Practice Address |
627 S Houston Lake Rd Suite 100 Warner Robins GA 31088-9077 |
| Mailing Address |
3801 Northsdie Dr Macon GA 31201 |
| Practice Telephone | 4783220009 |
| Mailing Telephone | 4784751600 |
| Mailing Fax Number | 4784754160 |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2008-01-03 |
| Authorized Official Name | LETA M BIRD (BLLING MANAGER) |
| Authorized Official Telephone | 4784751600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851510408 | Primary Eyecare | Optometrist | 3801 Northside Dr, Macon, GA 31210-2418 | 2007-04-24 |
| Street Address |
627 S HOUSTON LAKE RD SUITE 100 |
| City | WARNER ROBINS |
| State | GA |
| Zip Code | 31088-9077 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831385756 | Misti Stapleton Smith | Optometrist | 627 S Houston Lake Rd, Suite 100, Warner Robins, GA 31088-9077 | 2007-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982218921 | Sarah Newman | Pharmacist | 1081 Ga-96, Warner Robins, GA 31088 | 2020-09-08 |
| 1619599115 | Alana Jane Sibley | Registered Nurse | 940 Ga - 96, Warner Robins, GA 31088 | 2020-05-07 |
| 1033779657 | Jodi Lynne Pettygrove | Nurse Practitioner | 115 Havelock Cir, Warner Robins, GA 31088 | 2019-06-17 |
| 1164994901 | Gwendolyn Jordan Taylor | Registered Nurse | 940-c Ga Hwy 96, Same, Warner Robins, GA 31088 | 2018-12-18 |
| 1447721543 | Amy Tanner | Behavioral Analyst | 200 Cresview Church Rd #1806, Warner Robins, GA 31088 | 2018-12-16 |
| 1518435676 | Phoenix Health Center | Case Management | 940 Ga-96, Warner Robins, GA 31088 | 2018-11-07 |
| 1427534320 | Jared Dean Johnson | Social Worker | 146 Lakepointe Drive, Warner Robins, GA 31088 | 2018-07-13 |
| 1285124180 | Cmp Academy & Billing Service | Contractor | 105 S Commercial Circle, Warner Robins, GA 31088 | 2018-05-16 |
| 1730692377 | Benzer Pharmacy | Pharmacy | 150 S Houston Lake Rd Ste 300, Warner Robins, GA 31088 | 2017-11-06 |
| 1821507476 | Timothy Doyle Thomas | Registered Nurse | 940-c Hwy 96, Warner Robins, GA 31088 | 2017-09-27 |
| Find all providers in zip 31088 | ||||
| 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 |
|---|---|---|---|---|
| 1356804769 | National Vision Inc | Optometrist | 2620 Watson Blvd Ste T, Warner Robins, GA 31093-8077 | 2019-04-11 |
| 1851726384 | Anna Frances Kauderman | Optometrist | 627 S Houston Lake Rd Ste 100, Warner Robins, GA 31088-9079 | 2013-09-03 |
| 1669698866 | Anitha Kannan | Optometrist | 334 Margie Dr, Warner Robins, GA 31088-7817 | 2007-04-17 |
| 1316007701 | Robins Eye Care LLC | Optometrist | 3035 Watson Blvd, Suite 4, Warner Robins, GA 31093 | 2006-12-08 |
| 1427120138 | Dudley B Christie Jr. | Optometrist | 198 S Houston Lake Rd, Ste B, Warner Robins, GA 31088-6473 | 2006-11-15 |
| 1689631293 | Paul R. Smith | Optometrist | 216 Corder Rd., Gayton Health Centre, PC Dba Eyesight Associates, Warner Robins, GA 31088 | 2006-04-27 |
| 1639179906 | Vision Savers, Inc | Optometrist | 2203 Watson Blvd, Warner Robins, GA 31093-8013 | 2005-07-28 |
| 1417501248 | Mahmud Abdallah | Optometrist | 2620 Watson Blvd Ste T, Warner Robins, GA 31093-8077 | 2019-07-30 |
| 1205316296 | Jeffrey N. Cofie | Optometrist | 216 Corder Rd, Warner Robins, GA 31088-3604 | 2018-08-18 |
| 1750809646 | Myeyedr Optometry of Georgia, LLC | Optometrist | 627 S Houston Lake Rd Ste 100, Warner Robins, GA 31088-9079 | 2017-08-31 |
| Find all providers in WARNER ROBINS | ||||
| City | WARNER ROBINS |
| Zip Code | 31088 |
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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.