Organization Active NPI

Choi and Bang OD, PC

Doing business as Eyexam of Peachtree City

  • Corneal and Contact Management Optometrist
  • Peachtree City, GA
National Provider Identifier
1003917469
Registry record updated Aug 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
2015 Issued in GA
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, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2018

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

Authorized official

Name
Jae Matthew Choi, ODNPI 1942301338
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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.