PREMIER OPHTHALMOLOGY LLC (NPI# 1427261759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427261759 |
| Entity Type | Organization |
| Organization Name | PREMIER OPHTHALMOLOGY LLC |
| Practice Address |
7170 Highway 278 Ne Suite B Covington GA 30014-1529 |
| Practice Telephone | 7707876200 |
| Practice Fax Number | 7707872643 |
| Mailing Telephone | 7707876200 |
| Mailing Fax Number | 7707872643 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2012-08-02 |
| Authorized Official Name | BRADLEY G JACOBY (OWNER, PHYSICIAN) |
| Authorized Official Telephone | 7707876200 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 027835 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
7170 HIGHWAY 278 NE SUITE B |
| City | COVINGTON |
| State | GA |
| Zip Code | 30014-1529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548315252 | Premier Ophthalmology, LLC | Eyewear Supplier (Equipment, not the service) | 7170 Highway 278 Ne, Suite B, Covington, GA 30014-1529 | 2007-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801495635 | Cathy Cassandra Collins | Pharmacist | 3639 Hwy 278, Covington, GA 30014 | 2020-10-22 |
| 1154933877 | Atl Optical LLC | Optometrist | 3135 Highway 278 Ne, Covington, GA 30014 | 2020-08-24 |
| 1932737046 | Samagas House Org | Adult Companion | 1500 Mountain View Cirlcle, Conyers, GA 30014 | 2020-04-01 |
| 1356834360 | Covington Dental Care | Dentist | 4139 Baker Street, Suite 15, Covington, GA 30014 | 2018-06-13 |
| 1487190005 | New Avenues Assessment and Counseling Center LLC | Counselor | 3192 Spring Street, Covington, NEWTON 30014 | 2017-01-07 |
| 1275903973 | Jennifer Carol Bridges | Registered Nurse | 320 Malcom Lane, Covington, GA 30014 | 2015-10-07 |
| 1134598501 | Shelby Boggus King | Physician Assistant | 4181 Hospital Drive Ne, Suite 204, Covington, GA 30014 | 2015-09-16 |
| 1366829814 | Wendy Pazdur | Counselor | 5109 Hwy 278 East, Suite D, Covington, GA 30014 | 2015-05-05 |
| 1306235445 | Covington Center for Family Dentistry | Dentist | 10373 Industrial Blvd, Covington, GA 30014 | 2015-01-13 |
| 1992103428 | Modern Cosmetic Dental Care, LLC | Clinic/Center | 1750 Highway 11, Suite B, Covington, GA 30014 | 2014-12-16 |
| Find all providers in zip 30014 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477950269 | Tri-state Centers for Sight, Inc | Ophthalmology | 802 Scott St, Covington, KY 41011-2420 | 2014-11-24 |
| 1487886867 | M Teresa Vives Md LLC | Ophthalmology | 185 Greenbriar Blvd, Covington, LA 70433-7234 | 2009-08-18 |
| 1922254523 | Eagle Eye and Medical Clinic Inc | Ophthalmology | 3138b Highway 278 Nw, Covington, GA 30014-2304 | 2008-08-14 |
| 1740498880 | Wendy Grim Doneyhue | Ophthalmology | 1000 Ochsner Boulevard, Covington, LA 70433 | 2007-05-21 |
| 1114095213 | Tri-state Centers for Sight, Inc. | Ophthalmology | 7 W 7th St, Covington, KY 41011-2301 | 2006-11-30 |
| 1821171661 | Jose Luis Bigles-geigel | Ophthalmology | 4159 Mill St Ne, Covington, GA 30014-2546 | 2006-10-23 |
| 1174605372 | Bradley G Jacoby | Ophthalmology | 7170 Highway 278, Ste B, Covington, GA 30014 | 2006-10-19 |
| 1376649939 | Surgical Eye Associates | Ophthalmology | 1120 N Highway 190, Covington, LA 70433-5178 | 2006-09-14 |
| 1174534960 | Satya Vardhan Reddy | Ophthalmology | 128 Lakeview Cir, Covington, LA 70433-7512 | 2006-08-10 |
| 1952349334 | Nazir Ahmad Khawaja | Ophthalmology | 4124 Highway 278 Ne, Covington, GA 30014-2494 | 2006-06-04 |
| Find all providers in COVINGTON | ||||
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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.