PREMIER OPHTHALMOLOGY, LLC (NPI# 1548315252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548315252 |
| 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 | 2007-01-24 |
| Last Update Date | 2012-08-02 |
| Authorized Official Name | BRADLEY G JACOBY (PHYSICIAN OWNER) |
| Authorized Official Telephone | 7707876200 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | 6856 | GA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000326697B | 05 |
| Street Address |
7170 HIGHWAY 278 NE SUITE B |
| City | COVINGTON |
| State | GA |
| Zip Code | 30014-1529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427261759 | Premier Ophthalmology LLC | Ophthalmology | 7170 Highway 278 Ne, Suite B, Covington, GA 30014-1529 | 2007-05-07 |
| 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 | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104113554 | Eye Deal Optical, LLC. | Eyewear Supplier (Equipment, not the service) | 5125 Highway 278 Nw, Covington, GA 30014-2123 | 2011-07-06 |
| 1730472572 | All Eyes Optical Solutions | Eyewear Supplier (Equipment, not the service) | 300 Glen Echo Dr, Covington, GA 30016-7408 | 2011-05-26 |
| 1154627586 | Health Transformations Inc | Eyewear Supplier (Equipment, not the service) | 706 W 15th Ave, Covington, LA 70433-2416 | 2011-02-02 |
| 1043305717 | Krishna Sankar M.d., P.C. | Eyewear Supplier (Equipment, not the service) | 201 Interstate Dr, Covington, VA 24426-6441 | 2006-10-04 |
| 1265471692 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 16735 Se 272nd St, Suite C, Covington, WA 98042-4942 | 2006-06-04 |
| 1073904330 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 27520 Covington Way Se, Covington, WA 98042-9100 | 2015-02-09 |
| 1093156390 | Ochsner Clinic LLC | Eyewear Supplier (Equipment, not the service) | 1000 Ochsner Blvd, Covington, LA 70433-8107 | 2013-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164021234 | Bianca Horton Holmes | Eyewear Supplier (Equipment, not the service) | 1085 Buckingham Ter, Fairburn, GA 30213-6481 | 2020-10-20 |
| 1649887886 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 331 Newnan Crossing Byp, Newnan, GA 30265-1067 | 2020-09-30 |
| 1407461700 | United Vision Plans Inc | Eyewear Supplier (Equipment, not the service) | 669 Longwood Dr Nw, Atlanta, GA 30305-3903 | 2020-09-14 |
| 1518513613 | Hendrix Eye Clinic, LLC | Eyewear Supplier (Equipment, not the service) | 864 Central Ave, Demorest, GA 30535-5534 | 2019-08-14 |
| 1093375503 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 40 Fischer Crossings Dr, Sharpsburg, GA 30277 | 2019-06-17 |
| 1255814893 | For Eyes Optical Co. of Pennsylvania | Eyewear Supplier (Equipment, not the service) | 5130 Peachtree Pkwy Ste 630, Peachtree Corners, GA 30092-2525 | 2018-09-10 |
| 1578079869 | Professional Eye Associates, Inc. | Eyewear Supplier (Equipment, not the service) | 113 West Pine Street, Chatsworth, GA 30705 | 2017-12-21 |
| 1538686894 | Jand Inc. | Eyewear Supplier (Equipment, not the service) | 274 Buckhead Ave Ne, Atlanta, GA 30305-2208 | 2017-08-28 |
| 1619494978 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 1198 Howell Mill Rd Nw Ste 300, Atlanta, GA 30318-5626 | 2017-08-28 |
| 1508317587 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 8000 Mall Pkwy, Lithonia, GA 30038-2542 | 2016-10-14 |
| Find all providers with the same taxonomy | ||||
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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.