Eye Styles LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2530 Issued in GA

Legal business name

EYE STYLES LLC

Practice address

5530 Windward Pkwy
Suite 1220
Alpharetta, GA 30004-8969

Phone

(678) 867-9868

NPI assigned

Apr 18, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Mamta Patel, O.D.

Title

Owner

Phone

(770) 362-4721

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334707200000",
    "number": "1023375722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5530 WINDWARD PKWY",
            "address_2": "SUITE 1220",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300048969",
            "telephone_number": "678-867-9868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5530 WINDWARD PKWY",
            "address_2": "SUITE 1220",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300048969",
            "telephone_number": "678-867-9868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE STYLES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-18",
        "last_updated": "2012-04-18",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MAMTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-362-4721",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "2530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; 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.