JESSICA GRIMES PATTON (NPI# 1639728975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639728975 |
| Entity Type | Individual |
| Full Name | JESSICA GRIMES PATTON |
| Other Name | JESSICA DANIELLE GRIMES |
| Credential | OD |
| Practice Address |
217 Riverstone Dr Canton GA 30114-5256 |
| Mailing Address |
1950 Old Gallows Rd Ste 520 Vienna VA 22182-3970 |
| Practice Telephone | 7703455220 |
| Practice Fax Number | 7704795011 |
| Mailing Telephone | 7038478899 |
| Mailing Fax Number | 5712236780 |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2020-06-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 3191 | GA | Eye and Vision Services Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 800 Mount Vernon Hwy Ne Ste 130, Atlanta, GA 303284293 | 8665273722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619590502 | Jessica Courtney Patton | Student in an Organized Health Care Education/Training Program | 2737 Nw 140th St Apt 303, Oklahoma City, OK 73134-6166 | 2020-05-26 |
| 1326562737 | Jessica Patton | Massage Therapist | 4290 Powell Rd, Huber Heights, OH 45424-5514 | 2017-07-27 |
| 1871117416 | Jessica Lee Patton | Student in an Organized Health Care Education/Training Program | 1250 E Marshall St Dept Of, Richmond, VA 23298-5051 | 2020-05-29 |
| 1891167904 | Jessica Patton | Pharmacist | 635 S Melrose Dr, Vista, CA 92081-6622 | 2015-10-28 |
| 1437545415 | Jessica Lauren Patton | Pharmacist | 3441 Dickerson Pike, Nashville, TN 37207-2539 | 2015-04-07 |
| 1477854362 | Jessica Patton | Counselor | 2535 Kettner Blvd, Suite 1a4, San Diego, CA 92101-1250 | 2010-11-08 |
| 1184810715 | Jessica Rochell Patton | Occupational Therapist | 2211 N Oak Park Ave, Chicago, Chicago, IL 60707-3351 | 2007-09-18 |
| Street Address |
217 RIVERSTONE DR |
| City | CANTON |
| State | GA |
| Zip Code | 30114-5256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114055522 | Brian Gregory Shipley | Optometrist | 217 Riverstone Dr, Canton, GA 30114-5256 | 2007-02-28 |
| 1023481207 | Myeyedr Optometry of Georgia, LLC | Optometrist | 217 Riverstone Dr, Canton, GA 30114-5256 | 2015-11-10 |
| 1497986517 | Elizabeth P Covington | Optometrist | 217 Riverstone Dr, Canton, GA 30114-5256 | 2009-08-06 |
| 1063680833 | Suresight and Associates L L C | Clinic/Center | 217 Riverstone Dr, Canton, GA 30114-5256 | 2008-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619516093 | Wickshire Canton Opco LLC | Assisted Living Facility | 125 Riverstone Terrace, Canton, GA 30114 | 2020-01-02 |
| 1154803583 | Alixandra Nicole Flournoy | Physical Therapist | 131 Holly Street, Canton, GA 30114 | 2018-09-01 |
| 1588157341 | Provident Group - Canton Cove Properties LLC | Alzheimer Center (Dementia Center) | 1100 Reinhardt College Parkway, Canton, GA 30114 | 2018-06-07 |
| 1003233107 | Heartland Dental Care of Georgia | Dentist | 3237 Sixes Rd, Canton, GA 30114 | 2014-03-26 |
| 1730510959 | Joseph Optical | Eyewear Supplier (Equipment, not the service) | 1455 Riverstone Pkwy Suite 110, Canton, GA 30114 | 2013-12-13 |
| 1629313036 | Ramona Morton Rasmussen | Occupational Therapist | 200 Riverstone Drive, Suite B, Canton, GA 30114 | 2012-12-11 |
| 1902154875 | Yong Qiao Luo | Acupuncturist | 200 Oakside Lane, Suite D, Canton, GA 30114 | 2012-08-26 |
| 1215294350 | Christina Lynn Hernandez | Pediatrics | 1558 Riverstone Pkwy Ste 100, Canton, GA 30114 | 2012-04-13 |
| 1558638981 | Stephen E Byrd | Counselor | 191 Lamar Haley Pkwy., Canton, GA 30114 | 2011-11-30 |
| 1073807855 | Sheri Sullins Buckley | Nurse Practitioner | 120 Oakside Ct Ste H, Canton, GA 30114 | 2011-06-08 |
| Find all providers in zip 30114 | ||||
| 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 |
|---|---|---|---|---|
| 1972136224 | Myeyedr Optometry of Georgia LLC | Optometrist | 1409 Sixes Rd, Canton, GA 30114-8950 | 2020-02-14 |
| 1508497041 | Megan Rath | Optometrist | 4233 Fulton Dr Nw, Canton, OH 44718-2856 | 2020-02-03 |
| 1235769027 | Canton Optique, LLC | Optometrist | 41840 Ford Rd, Canton, MI 48187-3600 | 2020-01-21 |
| 1740665298 | Belleville-canton Optometry LLC | Optometrist | 1675 N Canton Center Rd, Canton, MI 48187 | 2015-07-27 |
| 1538567243 | Blink Eyecare, Pllc | Optometrist | 108 N. Ridge Rd, Canton, MI 48187-6678 | 2014-12-11 |
| 1528485703 | Eye Definition Pllc | Optometrist | 405 N. Canton Center, Canton, MI 48187 | 2014-03-25 |
| 1013261288 | Crystal Mizell | Optometrist | 2030 Cumming Hwy Ste 106, Canton, GA 30115-8009 | 2012-11-09 |
| 1922371665 | Sharper Vision, Pllc | Optometrist | 1675 N. Canton Center Rd., Canton, MI 48187 | 2012-02-10 |
| 1508133588 | Vishal Sanjay Patel | Optometrist | 201 Kimberly Way, Suite 106, Canton, GA 30114-8008 | 2011-11-19 |
| 1356570691 | Nathan David Borntrager | Optometrist | 4820 Everhard Rd Nw, Canton, OH 44718-2413 | 2009-07-08 |
| Find all providers in CANTON | ||||
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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.