Active NPI
Choi and Bang OD, PC
Doing business as Eyexam of Peachtree City
- Corneal and Contact Management Optometrist
- Peachtree City, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corneal and Contact Management Optometrist
- License
- 2015
- Legal business name
- CHOI AND BANG OD, PC
- Doing business as
- Eyexam of Peachtree City
- Practice address
- 407 City Cir Ste 1600
Peachtree City, GA 30269 - Phone
- (770) 487-8013
- NPI assigned
- Sep 26, 2006
- Last updated
- Aug 13, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jae Matthew Choi, OD
- Title
- Owner
- Phone
- (404) 803-1100
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | 2019 | GA | |
| Corneal and Contact Management Optometrist | 152WC0802X | 2015 | GA | Primary |
Addresses
Primary practice location
407 City Cir Ste 1600
Peachtree City, GA 30269
Mailing address
2451 Cumberland Pkwy SE Ste 3860
Atlanta, GA 30339-6136
Phone (404) 803-1100
Other practice location 1
1675 Cumberland Pkwy SE
Suite 103
Smyrna, GA 30080-6359
Phone (770) 438-0202
Other names 1
- Eyexam of Peachtree City
National Provider Directory
National Provider DirectoryLocations
2451 Cumberland Pkwy SE
Ste 3860
Atlanta, GA 30339
2911 George Busbee Pkwy NW
Kennesaw, GA 30144
Phone (404) 759-0590
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Corneal and Contact Management Optometrist
- Peachtree City, GA
- NPI 1942301338
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1534118400000",
"number": "1003917469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2451 CUMBERLAND PKWY SE STE 3860",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303396136",
"telephone_number": "404-803-1100",
"fax_number": "770-438-5033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 CITY CIR STE 1600",
"city": "PEACHTREE CITY",
"state": "GA",
"postal_code": "30269",
"telephone_number": "770-487-8013"
}
],
"practiceLocations": [
{
"address_1": "1675 Cumberland Pkwy SE",
"address_2": "Suite 103",
"address_purpose": "LOCATION",
"city": "Smyrna",
"state": "GA",
"postal_code": "300806359",
"country_code": "US",
"telephone_number": "770-438-0202",
"fax_number": "770-438-5033",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CHOI AND BANG OD, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-26",
"last_updated": "2018-08-13",
"status": "A",
"authorized_official_last_name": "CHOI",
"authorized_official_first_name": "JAE",
"authorized_official_middle_name": "MATTHEW",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "404-803-1100",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "GA",
"license": "2019",
"primary": false
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "GA",
"license": "2015",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Eyexam of Peachtree City",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Peachtree City, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.