DR. WILLIAM R. SHOCKLEY (NPI# 1700905999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700905999 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM R. SHOCKLEY |
| Credential | O.D. |
| Practice Address |
47 Jefferson St Newnan GA 30263-1948 |
| Practice Telephone | 7702540200 |
| Practice Fax Number | 7702541281 |
| Mailing Telephone | 7702540200 |
| Mailing Fax Number | 7702541281 |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | T964 | GA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | DURABLE MEDICAL EQUIPMENT | 0786430001 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235292400 | William Harvey Shockley IIi | Registered Nurse | 309 Mary Ann Ave, Stevens Point, WI 54481-2417 | 2006-12-19 |
| 1053412635 | William W Shockley | Otolaryngology | 101 Manning Dr, Chapel Hill, NC 27599-0001 | 2006-09-26 |
| Street Address |
47 JEFFERSON ST |
| City | NEWNAN |
| State | GA |
| Zip Code | 30263-1948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881224681 | Side Eye LLC | Optometrist | 47 Jefferson St, Newnan, GA 30263-1948 | 2020-01-21 |
| 1669644522 | William R. Shockley, Od | Durable Medical Equipment & Medical Supplies | 47 Jefferson St, Newnan, GA 30263-1948 | 2008-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750914115 | Tina Harvey | Counselor | 55 A, Suite A, Newnan, GA 30263 | 2020-02-13 |
| 1407492846 | Pathways Center for Behavioral & Developmental Growth | Community/Behavioral Health | 78 Hospital Road, Newnan, GA 30263 | 2019-11-20 |
| 1831672047 | Jp & Jg Enterprises | Hospice Care, Community Based | 22 Madras Parkway, Newnan, GA 30263 | 2018-09-13 |
| 1376052928 | Newnan Endoscopy Center LLC | Clinic/Center | 1200 Lower Fayetteville Rd, Newnan, GA 30263 | 2017-09-27 |
| 1417314899 | Natalie Stephens | Speech-Language Pathologist | 87 Matador Way, Newnan, GA 30263 | 2016-01-15 |
| 1376943423 | Kathryn R Fletcher | Case Manager/Care Coordinator | 30 O'tara Woods Drive, Newnan, GA 30263 | 2014-08-26 |
| 1912260068 | Tamecia Hill | Counselor | 37 2nd Ave., Newnan, GA 30263 | 2012-06-22 |
| 1013289255 | Pathways Center for Behavioral and Developmental Growth | Community/Behavioral Health | 52 Perry St, Newnan, GA 30263 | 2012-02-03 |
| 1245513092 | Rocky Mountain Holdings LLC | Ambulance | 180 W Aviation Way, Newnan, GA 30263 | 2011-09-27 |
| 1316240427 | Georgia Cvs Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 395 Jackson St, Newnan, GA 30263 | 2010-12-10 |
| Find all providers in zip 30263 | ||||
| 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 |
|---|---|---|---|---|
| 1770770539 | Sean Carr, O.d., P.C. | Optometrist | 8 Bullsboro Dr, Newnan, GA 30263-1476 | 2007-09-26 |
| 1841315595 | Grant Paul Macdonald | Optometrist | 1065 Sullivan Rd, Suite C, Newnan, GA 30265-5545 | 2007-03-20 |
| 1871500587 | Kent Alan Voyce | Optometrist | 1025 Bullsboro Dr, Newnan, GA 30265 | 2006-08-02 |
| 1225097009 | Amy Rebecca Jeffries | Optometrist | 3150 Highway 34 E Ste 306, Newnan, GA 30265-2123 | 2006-03-21 |
| 1750982369 | Palakpreet Kaur | Optometrist | 324 Newnan Crossing Byp, Newnan, GA 30265-1082 | 2020-11-02 |
| 1881224681 | Side Eye LLC | Optometrist | 47 Jefferson St, Newnan, GA 30263-1948 | 2020-01-21 |
| 1871089375 | Anisha Patel | Optometrist | 3150 Highway 34 E Ste 306, Newnan, GA 30265-2123 | 2018-07-08 |
| 1427590314 | Adriana Escobar | Optometrist | 324 Newnan Crossing Byp, Newnan, GA 30265-1082 | 2016-11-09 |
| 1154732824 | Coweta Eye Associates, LLC | Optometrist | 15 Ruth Dr, Suite C, Newnan, GA 30265-2317 | 2014-05-15 |
| 1871722827 | Willnella Patray Peters | Optometrist | 1108 Bullsboro Dr, Newnan, GA 30265-2190 | 2009-07-13 |
| Find all providers in NEWNAN | ||||
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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.