OrganizationActive
Primary Eyecare
NPI 1114110574 · Optometrist · Warner Robins, GA
Provider details
- NPI number
- 1114110574
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Leta Bird, Blling Manager(478) 475-1600
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
627 S Houston Lake Rd
Suite 100
Warner Robins, GA 31088-9077
Phone: (478) 322-0009
Street-level locationGet directions
Mailing address
3801 Northsdie Dr
Macon, GA 31201
Registry dates
- Enumerated
- 2007-08-20
- Last updated
- 2008-01-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.