Organization Active NPI

P&D Family, LLC

  • Optometrist
  • Atlanta, GA
National Provider Identifier
1003255597
Registry record updated Jun 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT002708 Issued in GA
Legal business name
P&D FAMILY, LLC
Practice address
860 Peachtree St NE
Suite F
Atlanta, GA 30308-1249
Phone
(404) 853-5008
Fax
(404) 853-5009
NPI assigned
Jun 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Divya Bhakta, O.D.
Title
Optometrist
Phone
(678) 778-1985

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPT002708 GA Primary

Addresses

Primary practice location

860 Peachtree St NE
Suite F
Atlanta, GA 30308-1249

Mailing address

860 Peachtree St NE
Suite F
Atlanta, GA 30308-1249
Phone (404) 853-5008

Other names 1

  • Eyedeology Vision Center & Optique Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1371513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371513600000",
    "number": "1003255597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 PEACHTREE ST NE",
            "address_2": "SUITE F",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303081249",
            "telephone_number": "404-853-5008",
            "fax_number": "404-853-5009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 PEACHTREE ST NE",
            "address_2": "SUITE F",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303081249",
            "telephone_number": "404-853-5008",
            "fax_number": "404-853-5009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P&D FAMILY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-18",
        "last_updated": "2013-06-18",
        "status": "A",
        "authorized_official_last_name": "BHAKTA",
        "authorized_official_first_name": "DIVYA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "678-778-1985",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyedeology Vision Center & Optique",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.