GEORGIA OPHTHALMOLOGY ASSOC PC (NPI# 1295862779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295862779 |
| Entity Type | Organization |
| Organization Name | GEORGIA OPHTHALMOLOGY ASSOC PC |
| Other Organization Name | ASPECTS OPTICAL |
| Practice Address |
465 Winn Way Suite 140 Decatur GA 30030-1753 |
| Practice Telephone | 4042985557 |
| Practice Fax Number | 4042979480 |
| Mailing Telephone | 4042985557 |
| Mailing Fax Number | 4042979480 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2007-11-12 |
| Authorized Official Name | P SANFORD (ADMINISTRATOR) |
| Authorized Official Telephone | 4042985557 |
| Is Organization Subpart | Y |
| Parent Organization Name | GEORGIA OPHTHALMOLOGY ASSOC PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
017845 | GA | Suppliers |
| Other Name | Type Code |
|---|---|
| ASPECTS OPTICAL | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033246525 | Georgia Ophthalmology Assoc PC | Durable Medical Equipment & Medical Supplies | 1700 Tree Lane Rd, Suite 135, Snellville, GA 30078-6782 | 2007-02-28 |
| 1356478077 | Georgia Ophthalmology Assoc PC | Ophthalmology | 465 Winn Way, Suite 140, Decatur, GA 30030-1753 | 2007-02-28 |
| Street Address |
465 WINN WAY SUITE 140 |
| City | DECATUR |
| State | GA |
| Zip Code | 30030-1753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093707325 | Gayle Leff Goldstein | Ophthalmology | 465 Winn Way, Ste 140, Decatur, GA 30030-1753 | 2005-08-23 |
| 1184230237 | Miracle Penny | Behavior Technician | 465 Winn Way, Decatur, GA 30030-1753 | 2020-09-23 |
| 1447874862 | Nicholas Okeith Rocker | Behavior Technician | 465 Winn Way, Decatur, GA 30030-1753 | 2020-06-01 |
| 1811349640 | Advanced Counseling Services | Counselor | 465 Winn Way, Suite 150, Decatur, GA 30030-1753 | 2016-07-05 |
| 1003296062 | Shaina Gordon | Counselor | 465 Winn Way, 221, Decatur, GA 30030-1753 | 2015-06-04 |
| 1386929073 | Robin May | Counselor | 465 Winn Way, Suite 221, Decatur, GA 30030-1753 | 2011-10-13 |
| 1013200070 | Anna Christina Davis | Counselor | 465 Winn Way, Suite 221, Decatur, GA 30030-1753 | 2011-05-24 |
| 1497052963 | South Central Community and Social Services LLC | Community/Behavioral Health | 465 Winn Way, Suite 150, Decatur, GA 30030-1753 | 2011-02-18 |
| 1164751012 | Michael B Stubbs Md PC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 465 Winn Way, Suite 211, Decatur, GA 30030-1753 | 2009-12-23 |
| 1083858716 | Susan Laney Castle | Nurse Practitioner | 465 Winn Way, Suite 215, Decatur, GA 30030-1753 | 2009-04-24 |
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| 1699238733 | Dinah Augustin | Registered Nurse | 1458 Church St., Unit B, Decatur, GA 30030 | 2019-04-06 |
| 1093284291 | Eliza Segell | Social Worker | 165 Dekalb Industrial Way Ste D-1, Decatur, GA 30030 | 2018-11-16 |
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| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
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|---|---|---|---|---|
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| 1376040451 | Amanda Lewis Enterprises Ltd | Durable Medical Equipment & Medical Supplies | 3250 N Woodford St, Decatur, IL 62526-2836 | 2018-04-06 |
| 1760684609 | Georgia Spine & Neurosurgery Center LLC | Durable Medical Equipment & Medical Supplies | 2675 N Decatur Rd, Suite 110, Decatur, GA 30033-6131 | 2007-06-04 |
| 1972627396 | Georgia Spine & Neurosurgery Center, LLC | Durable Medical Equipment & Medical Supplies | 2675 N Decatur Rd, Suite 710, Decatur, GA 30033-6131 | 2007-03-19 |
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| 1790258226 | Ariana Sade Jones | Durable Medical Equipment & Medical Supplies | 1015 Casa Dr, Clarkston, GA 30021-1109 | 2019-01-08 |
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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.