20-20 OPTICAL, INC. (NPI# 1952422198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952422198 |
Entity Type | Organization |
Organization Name | 20-20 OPTICAL, INC. |
Other Organization Name | 20/20 VISION CENTER |
Practice Address |
2025 Jonesboro Rd Mcdonough GA 30253 |
Practice Telephone | 6784321800 |
Practice Fax Number | 6784324500 |
Mailing Telephone | 6784321800 |
Mailing Fax Number | 6784324500 |
Enumeration Date | 2007-04-03 |
Last Update Date | 2017-01-23 |
Authorized Official Name | MR. RICHARD L. LYLE (PRESIDENT) |
Authorized Official Telephone | 6784321800 |
Authorized Official Credential | L.D.O. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 152W00000X | Optometrist | 1758 | GA | Eye and Vision Services Providers |
Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
740 | GA | Eye and Vision Services Providers |
Other Name | Type Code |
---|---|
20/20 Vision Center | Doing Business As Name - Organization |
Street Address |
2025 JONESBORO RD |
City | MCDONOUGH |
State | GA |
Zip Code | 30253 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861781411 | Sheila Luann Thomas | Optometrist | 2025 Jonesboro Rd, Mcdonough, GA 30253-5971 | 2011-04-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518565159 | First Choice Home Health Care LLC | In Home Supportive Care | 600 Westridge Parkway, Suite 707, Mcdonough, GA 30253 | 2020-10-15 |
1164033783 | Tanequa S Dorsey | Counselor | 40 Macon Street, Suite D, Mcdonough, GA 30253 | 2020-08-17 |
1396369195 | Ikponmwosa Obakpolor | Physical Therapist | 234 Village Drive, Mcdonough, GA 30253 | 2020-06-08 |
1205392305 | Healthstat Onsite Clinic-henry County | Preventive Medicine | 141 Henry Parkway, Healthstat Clinic, Mcdonough, GA 30253 | 2019-02-13 |
1588128557 | Vernette R Mathurin | Licensed Practical Nurse | 97 Atl Street Suite 100, Mcdonough, GA 30253 | 2019-01-24 |
1083196836 | Peta-gaye C Pilote | Registered Nurse | 319 Regal Way E, Mcdonough, GA 30253 | 2018-08-29 |
1275021586 | Heritage Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 155 Westridge Pkwy Ste 217, Mcdonough, GA 30253 | 2018-04-23 |
1457853236 | Sherrille Greene | Counselor | 609 Autumn Leaf Circle, Mcdonough, GA 30253 | 2018-03-07 |
1376052696 | Kendra Oreggio | Private Vehicle | 117 Janney Circle, Mcdonough, GA 30253 | 2017-09-29 |
1245758788 | Pamela Hobbs | Home Health Aide | 5011 Monarch Dr, Mcdonough, GA 30253 | 2017-09-05 |
Find all providers in zip 30253 |
Taxonomy Code | 156FX1800X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Optician |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245484468 | America's Best Contacts & Eyeglasses | Technician/Technologist | 1128 Highway 81 West, Ste. A, Mcdonough, GA 30253 | 2008-11-14 |
1861871725 | The Eyecare Place LLC | Technician/Technologist | 42 Old Jackson Rd, Mcdonough, GA 30252-3029 | 2015-05-26 |
1447639604 | Chhaya Sei | Technician/Technologist | 42 Old Jackson Rd, Mcdonough, GA 30252-3029 | 2015-05-21 |
1659454585 | Wal-mart Stores East, Lp | Technician/Technologist | 135 Willow Ln, Mcdonough, GA 30253-6574 | 2006-10-23 |
1053403600 | Sam's Club Optical | Technician/Technologist | 1765 Jonesboro Rd, Mcdonough, GA 30253-5969 | 2006-09-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427667302 | Carole F Medou | Technician/Technologist | 57 Hurricane Shoals Rd Nw Ste A, Lawrenceville, GA 30046-5396 | 2020-07-28 |
1255966206 | Steven W Burton | Technician/Technologist | 2498 Wingfield Dr, Austell, GA 30106-1762 | 2020-03-10 |
1477185205 | Dale A Klauss | Technician/Technologist | 294 Kenwood Rd Ste A, Fayetteville, GA 30214-3451 | 2020-02-10 |
1104380682 | National Vision Inc | Technician/Technologist | 97 Parkway Dr, Fort Oglethorpe, GA 30742-4249 | 2019-01-29 |
1134683600 | National Vision Inc | Technician/Technologist | 3159 Highway 278 Ne, Covington, GA 30014-2301 | 2019-01-29 |
1255818993 | Kerryn Castellon | Technician/Technologist | 55 Sudderth St, Buford, GA 30518-3335 | 2018-07-25 |
1770075731 | National Vision, Inc. | Technician/Technologist | 916 Loganville Hwy Ste 300, Bethlehem, GA 30620-2145 | 2018-06-05 |
1598262487 | National Vision, Inc. | Technician/Technologist | 534 Marketplace Pkwy Ste 740, Dawsonville, GA 30534-7549 | 2018-04-09 |
1720582992 | Amos D Washington | Technician/Technologist | 10269 Industrial Blvd Ne, Covington, GA 30014-1485 | 2018-03-21 |
1619490489 | Lisa Stonebraker | Technician/Technologist | 105 E Main St Ste 116, Woodstock, GA 30188-5013 | 2017-07-24 |
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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.