DR. JACK STEPHENS TONGE JR. (NPI# 1336145572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336145572 |
| Entity Type | Individual |
| Full Name | DR. JACK STEPHENS TONGE JR. |
| Credential | O.D. |
| Practice Address |
170 Camden Hill Rd Ste B Lawrenceville GA 30045-7418 |
| Practice Telephone | 7709632903 |
| Practice Fax Number | 7709638387 |
| Mailing Telephone | 7709632903 |
| Mailing Fax Number | 7709638387 |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2008-02-11 |
| NPI Deactivation Date | 03/15/2006 |
| NPI Reactivation Date | 2006-03-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 725T | GA | Eye and Vision Services Providers |
| Street Address |
170 CAMDEN HILL RD STE B |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30045-7418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346510013 | Pediatric Neurology and Epilepsy Center | Psychiatry & Neurology | 170 Camden Hill Rd, A, Lawrenceville, GA 30046-7418 | 2012-01-11 |
| 1013229889 | Susan P Whatley | Nurse Practitioner | 170 Camden Hill Rd, Suite F, Lawrenceville, GA 30046-7418 | 2010-07-09 |
| 1720110398 | Gwinnett Psychiatry, P.C. | Clinic/Center | 170 Camden Hill Rd, Suite C, Lawrenceville, GA 30046-7418 | 2007-03-09 |
| 1841230174 | Nephrology Medical Associates of Georgia LLC | Internal Medicine | 170 Camden Hill Rd, Suite F, Lawrenceville, GA 30045-7418 | 2006-06-07 |
| 1790741114 | Steven M Gorbatkin | Specialist | 170 Camden Hill Rd, Lawrenceville, GA 30045-7418 | 2006-04-25 |
| 1235195652 | David Tong | Specialist | 170 Camden Hill Rd, Suite F, Lawrenceville, GA 30045-7418 | 2006-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285104315 | Shalanda Monique Booker | Counselor | 2940 Emerald Springs Drive, Lawrenceville, GA 30045 | 2018-12-02 |
| 1669957320 | Chantelle S Fuller | Behavioral Analyst | 805 Donington Cir, Lawrenceville, GA 30045 | 2018-09-28 |
| 1356836035 | Gad Health Care LLC | Home Health | 1140 Great Oaks Dr, Lawrenceville, GA 30045 | 2018-06-26 |
| 1346668662 | Eca Optical, LLC | Eyewear Supplier (Equipment, not the service) | 601-a Professional Drive, Ste 170, Lawrenceville, GA 30045 | 2014-04-03 |
| 1598102733 | Selena Fuller | Nurse Practitioner | 181 South Clayton Street, Lawrenceville, GA 30045 | 2013-05-29 |
| 1942555982 | Vida Michele James-bryant | Community Health Worker | 1309 Avington Glen Dr, Lawrenceville, GA 30045 | 2012-07-16 |
| 1770840639 | Rebecca Vinson D'angelo | Occupational Therapist | 1518 Great Shoals Cir, Lawrenceville, GA 30045 | 2012-04-17 |
| 1427346774 | Amanda Michelel Woods | Psychologist | 285 South Perry Street, Lawrenceville, GA 30045 | 2011-07-20 |
| 1790070563 | M & G Pharmacy Inc | Pharmacy | 100 Hurricane Shoals Rd Suite F, Lawrenceville, GA 30045 | 2011-06-09 |
| 1306146154 | Thanh Dau | Optometrist | 1250 Scenic Highway, Ste 1268, Lawrenceville, GA 30045 | 2010-10-27 |
| Find all providers in zip 30045 | ||||
| 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 |
|---|---|---|---|---|
| 1417581653 | National Vision Inc | Optometrist | 1400 Lawrenceville Hwy Ste 700, Lawrenceville, GA 30044-2029 | 2020-02-26 |
| 1659858991 | Apex Eyecare | Optometrist | 3694 Club Drive Unit 101, Lawrenceville, GA 30044 | 2018-07-19 |
| 1538658091 | Brittany Marie Moates | Optometrist | 1250 Scenic Hwy Ste 1700, Lawrenceville, GA 30045-7823 | 2018-05-09 |
| 1235635541 | Lawrenceville Eye Care LLC | Optometrist | 4 Princess Rd Ste 202, Lawrenceville, NJ 08648-2322 | 2018-04-04 |
| 1982133997 | Dr. Cynthia L Han and Associates | Optometrist | 3320 Brunswick Ave Unit 130, Lawrenceville, NJ 08648-2432 | 2017-06-05 |
| 1932518032 | Mallory Phillips Bodford | Optometrist | 2000 Newpoint Pkwy, Suite Number 100, Lawrenceville, GA 30043-5577 | 2014-08-04 |
| 1386089290 | Georgia Eye Group LLC | Optometrist | 2522 Ripple Way, Lawrenceville, GA 30043-3424 | 2013-05-06 |
| 1104172477 | Ryan Horan | Optometrist | 2000 Newpoint Pkwy Ste 100, Lawrenceville, GA 30043-5582 | 2012-07-24 |
| 1487927984 | Eye of The Tiger, LLC | Optometrist | 3320 Quakerbridge Mall, Suite 205, Lawrenceville, NJ 08648 | 2012-02-14 |
| 1467756874 | Thuy-tam Truong | Optometrist | 4825 Sugarloaf Pkwy Ste F, Lawrenceville, GA 30044-8800 | 2010-12-28 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30045 |
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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.