Choi and Bang OD, PC

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

2015 Issued in GA

Legal business name

CHOI AND BANG OD, PC

Practice address

407 City Cir Ste 1600
Peachtree City, GA 30269

Phone

(770) 487-8013

NPI assigned

Sep 26, 2006

Organization subpart

No

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

Specialties & licenses 2

Addresses

Other names 1

• Eyexam of Peachtree City Doing business as

Locations

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": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "GA",
            "license": "2019",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY 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"
        }
    ]
}

• Tytiana Childers
• Jacklyn Alexia Chinnery, LPC
• Ara Chitchyan, MD
• Kathleen Sauve Chiu, IBCLC, RLC
• CHMG of Griffin, LLC
• Jae Matthew Choi, O.D.
• George Christensen, DDS
• Chronic Wound Consultants LLC
• City of Peachtree City
• Claim Path Georgia, LLC

• Corneal and Contact Management Optometrist in Peachtree City, GA
• Providers in Peachtree City, GA by specialty
• Corneal and Contact Management Optometrist in Georgia

• 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.

Verify at the official NPI Registry.