● Active Type 2 · Organization
John D Roberts Mdpc
Eyewear Supplier·Eastman, GA· NPI 1063694412
·
Enumerated 2007 · 18 years on NPI
John D Roberts Mdpc is 1 of 526 eyewear supplier organizations in Georgia.
NPI age
18 years
Enumerated 2007-11-28
Primary specialty
Eyewear Supplier
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Roberts
Manager
Last NPPES update
2008-02-05
Source: monthly bulk 2026-05
How this organization compares
Across 526 active eyewear supplier providers in Georgia.
NPI age
18 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
NPI lifetime · 2007 → 2026
2007-11Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
917 Plaza Ave
Eastman, GA 310236759
📞 4783749767fax 4783749769
Mailing address
917 Plaza Ave
Eastman, GA 310236759
📞 4783749767fax 4783749769
Authorized official
Jennifer A Roberts
Manager
📞 4783749767
Specialties
-
Eyewear Supplier
Primary
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
GA license #047253 taxonomy 332H00000X
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Practice context
Single-site organization. Only one practice location on file.
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How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.