PROFESSIONAL EYE ASSOCIATES, INC. (NPI# 1578079869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578079869 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL EYE ASSOCIATES, INC. |
| Practice Address |
113 West Pine Street Chatsworth GA 30705 |
| Mailing Address |
1111 Professional Blvd Dalton GA 30720 |
| Practice Telephone | 7062262020 |
| Practice Fax Number | 7065293322 |
| Mailing Telephone | 7062262020 |
| Mailing Fax Number | 7065293322 |
| Enumeration Date | 2017-12-21 |
| Last Update Date | 2017-12-21 |
| Authorized Official Name | SANDRA D CURD (CHIEF OPERATIONS OFFICER) |
| Authorized Official Telephone | 7062262020 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | Y |
| Parent Organization Name | PROFESSIONAL EYE ASSOCIATES, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | GA | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174988232 | Professional Eye Associates, Inc. | Eyewear Supplier (Equipment, not the service) | 1052 Battlefield Pkwy, Fort Oglethorpe, GA 30742-3948 | 2015-12-16 |
| 1770678948 | Professional Eye Associates, Inc. | Eyewear Supplier (Equipment, not the service) | 136 W Belmont Dr, Suite 3, Calhoun, GA 30701-3064 | 2006-10-04 |
| 1952305922 | Professional Eye Associates, Inc. | Eyewear Supplier (Equipment, not the service) | 1111 Professional Blvd, Dalton, GA 30720-2588 | 2005-06-08 |
| 1467456442 | Professional Eye Associates, Inc. | Clinic/Center | 1111 Professional Blvd, Dalton, GA 30720-2588 | 2005-06-08 |
| 1699777862 | Professional Eye Associates, Inc. | Ophthalmology | 1111 Professional Blvd, Dalton, GA 30720-2588 | 2005-06-01 |
| Street Address |
113 WEST PINE STREET |
| City | CHATSWORTH |
| State | GA |
| Zip Code | 30705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821582784 | Kayla Michelle Khan | Dentist | 221 N. 4th Avenue, Chatsworth, GA 30705 | 2018-06-14 |
| 1518472778 | Rebecca Annette Lunsford | Case Manager/Care Coordinator | 165 Freedom Way, Chatsworth, GA 30705 | 2017-12-11 |
| 1306214630 | K-va-t Food Stores, Inc. | Durable Medical Equipment & Medical Supplies | 502 Gi Maddox Parkway, Chatsworth, GA 30705 | 2015-09-03 |
| 1003231416 | Jessica Sanders | Nurse Practitioner | 800 Gi Maddox Pwky, Chatsworth, GA 30705 | 2014-02-20 |
| 1063731560 | Travis Mckie-voerste | Counselor | 96 Terrace Ct, Chatsworth, GA 30705 | 2010-05-24 |
| 1609962521 | Charlie Weichen Fang | Emergency Medicine | 707 Old Ellijay Road, Chatsworth, GA 30705 | 2006-10-05 |
| 1619941689 | Murray County Board of Health | Public Health or Welfare | 709 Dalton-ellijay Highway, Chatsworth, GA 30705 | 2006-02-15 |
| 1780671974 | Trom Enterprises, Inc. | Pharmacy | 101 Murray Plaza, Chatsworth, GA 30705 | 2005-10-03 |
| 1518953785 | Yara Fattouh | Family Medicine | 1111 Hwy 76, Chatsworth, GA 30705 | 2005-09-23 |
| 1700355070 | Cortney Dunn | Licensed Practical Nurse | 1289 Gi Maddox Pkwy, Chatsworth, GA 30705 | 2018-11-16 |
| Find all providers in zip 30705 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 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 |
| 1043768039 | Mark Lynn Od & Associates, PC | Eyewear Supplier (Equipment, not the service) | 7300 N Point Pkwy, Ste 122, Alpharetta, GA 30022-4818 | 2016-09-19 |
| Find all providers with the same taxonomy | ||||
| City | CHATSWORTH |
| Zip Code | 30705 |
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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.