ATHENS OPTICAL INC NPI 1003008749

Eyewear Supplier (Equipment, not the service) in Athens, GA

About ATHENS OPTICAL INC

Athens Optical Inc is a provider in Athens, GA. The NPI number assigned to this provider is 1003008749. The practitioner's primary taxonomy code is Eyewear Supplier (Equipment, not the service) (332H00000X). The provider is registered as an organization and their NPI record was last updated 10 years ago.

NPI1003008749 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameATHENS OPTICAL INC
Provider Location Address957 BAXTER ST ATHENS, GA 30606 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address957 BAXTER ST ATHENS, GA 30606 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date08-16-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date01-08-2008 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

ATHENS OPTICAL INC
957 BAXTER ST
ATHENS, GA
ZIP 30606
Phone: (706) 549-4457
Fax: (706) 353-3168
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Mailing Address

ATHENS OPTICAL INC
957 BAXTER ST
ATHENS, GA
ZIP 30606
Phone: (706) 549-4457
Fax: (706) 353-3168

Primary Taxonomy

Taxonomy Code332H00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationEyewear Supplier (Equipment, not the service)
TypeSuppliers
License No.LDO001741
License StateGA
Taxonomy DescriptionAn organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

Authorized Official

Authorized Official NameMR. JOHN COLLINS REED L.D.O. Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitleLICENSED DISPENSING OPTICIAN
Authorized Official Phone(706) 549-4457

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
0130170001MEDICARE NSC (07)GA

Map Location


ATHENS OPTICAL INC address is 957 BAXTER ST ATHENS, GA 30606

Other Providers at the same location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1134190531DR. SILAS CHASE READ MD
Individual
Ophthalmology957 BAXTER ST
ATHENS, GA 30606
(706) 549-7047
1184010233ARTICULARIS HEALTHCARE GROUP INC
Organization
Internal Medicine (Rheumatology)957 BAXTER ST
ATHENS, GA 30606
(706) 410-9270
1225122716DR. WILLIAM AIKEN CHAFIN III M.D.
Individual
Internal Medicine (Rheumatology)957 BAXTER ST
ATHENS, GA 30606
(706) 410-9270
1306895339ATHENS UROLOGICAL ASSOCIATES, LLC
Organization
Urology957 BAXTER ST
ATHENS, GA 30606
(706) 549-4999
1598984627MR. JOHN C REED L.D.O.
Individual
Technician/Technologist (Optician)957 BAXTER ST
ATHENS, GA 30606
(706) 549-4457
1740265594THOMAS EDWARD AREY
Organization
Optometrist957 BAXTER ST
ATHENS, GA 30606
(706) 549-7047