ATHENS OPTICAL INC NPI 1003008749

Eyewear Supplier in Athens, GA

NPI 1003008749 Organization Eyewear Supplier

About ATHENS OPTICAL INC

Athens Optical Inc is a provider established in Athens, Georgia specializing in eyewear supplier. The NPI number of Athens Optical Inc is 1003008749 and was assigned on August 2007. The practitioner's primary taxonomy code is 332H00000X with license number LDO001741 (GA). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Mr. John Collins Reed L.d.o. (Licensed Dispensing Optician)

NPI

1003008749

Provider NameATHENS OPTICAL INC
Provider Location Address957 BAXTER ST ATHENS, GA 30606
Provider Mailing Address957 BAXTER ST ATHENS, GA 30606
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date08-16-2007
Last Update Date01-08-2008


Primary Taxonomy

Taxonomy Code332H00000X
ClassificationEyewear Supplier
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.

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



Authorized Official

Authorized Official NameMR. JOHN COLLINS REED L.D.O.
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

Other Providers at the same location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1740265594THOMAS EDWARD AREY
Organization
Optometrist957 BAXTER ST
ATHENS, GA 30606
(706) 549-7047
1134190531DR. SILAS CHASE READ MD
Individual
Ophthalmology957 BAXTER ST
ATHENS, GA 30606
(706) 549-7047
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
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
1467891564 STEPHEN MERLE ELMORE MD
Individual
Internal Medicine (Rheumatology)957 BAXTER ST
ATHENS, GA 30606
(706) 410-9270
1790107548 EMILY SCHOFIELD
Individual
Nurse Practitioner (Family)957 BAXTER ST
ATHENS, GA 30606
(706) 410-9270

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider 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 Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type 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)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart 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.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary 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.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.