Eye Consultants: Fayetteville Surgery Center

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

EYE CONSULTANTS: FAYETTEVILLE SURGERY CENTER

Practice address

350 Brandywine Blvd Ste 101
Fayetteville, GA 30214-1562

Phone

(678) 801-6818

NPI assigned

Jun 22, 2022

Organization subpart

No

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

Authorized official

Name

Andrea McGrew, RN

Title

Clinical Director

Phone

(678) 429-8855

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Listed as

Eye Consultants Fayetteville Surgery CenterCCN 11C0001554

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Eca Optical, LLC

  • Eyewear Supplier
  • Marietta, GA
  • NPI 1306061114

  Member Of

  NPD member

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

{
    "created_epoch": "1655856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698105600000",
    "number": "1003547803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 BRANDYWINE BLVD STE 101",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302141562",
            "telephone_number": "678-801-6818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 BRANDYWINE BLVD STE 101",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302141562",
            "telephone_number": "678-801-6818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CONSULTANTS: FAYETTEVILLE SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-22",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A",
        "authorized_official_last_name": "MCGREW",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "678-429-8855",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharita Everett, M.S.
• Everthere Care LLC
• Emoni Rashawn Evins
• Exton Inc
• Exton LLC
• Christian Ezeagwu
• Chibuikem Henry Ezeasor, PHARMD
• Edith Ezeigbo
• Falcon Medical Equipment LLC
• Medinah Faldon, MD

• Ophthalmology Physician in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Ophthalmology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.