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PLAZA OPTICAL
NPI 1063694412
Eyewear Supplier in Eastman, GA

Active since November 28, 2007
917 PLAZA AVE, EASTMAN, GA 31023(478) 374-9767(478) 374-9769 Get Directions Write a Review

NPPES record last updated: February 5, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Plaza Optical NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PLAZA OPTICAL (NPI 1063694412) is a healthcare organization registered as an eyewear supplier in Eastman, Georgia and active in the NPI registry since November 2007. The organization lists Jennifer A Roberts, Manager, as its authorized official.

NPPES Registry Identity

NPI1063694412
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameJOHN D ROBERTS MDPC
Location Address917 PLAZA AVEEastman, GA 31023-6759
Mailing Address917 Plaza AveEastman, GA 31023-6759 · (478) 374-9767 · Fax (478) 374-9769
Phone(478) 374-9767
Fax(478) 374-9769
Organization SubpartNo
Authorized OfficialJennifer A RobertsManager · (478) 374-9767
Enumeration DateNovember 28, 2007
Last NPPES UpdateFebruary 5, 2008
✔ NPI 1063694412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
License✔ Licensed in GA · 047253
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
917 PLAZA AVE, Eastman, GA 31023
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Other Names 1

Doing Business AsPlaza Optical

Other Identifiers 1

Medicare NSC4101390001GA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John D Roberts Mdpc's NPI number?

The NPI number for John D Roberts Mdpc is 1063694412. It was assigned to this organization in the NPPES registry on November 28, 2007. The provider is doing business as Plaza Optical.

Where is John D Roberts Mdpc located?

John D Roberts Mdpc is located at 917 Plaza Ave, Eastman, GA 31023. The listed phone number is (478) 374-9767.

What is John D Roberts Mdpc's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

When was this NPI record last updated?

The NPPES record for John D Roberts Mdpc was last updated on February 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.