Active NPI
Eye Carrollton PC
- Optometrist
- Carrollton, GA
National Provider Identifier
1023969144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- EYE CARROLLTON PC
- Practice address
- 101 Newnan St
Carrollton, GA 30117-3225 - Phone
- (770) 830-4900
- NPI assigned
- Feb 5, 2026
- 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
- Dr. Rebecca Goad, OD
- Title
- Owner
- Phone
- (931) 436-5382
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
101 Newnan St
Carrollton, GA 30117-3225
Mailing address
119 Maple St Ste 205
Carrollton, GA 30117-3259
Phone (770) 403-8430
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260514002477 | GA | Part B Supplier - Clinic/Group Practice | 9638648009 |
Receives reassigned benefits from 1 practitioner Practice locations: Carrollton, GA |
National Provider Directory
National Provider DirectoryLocations
119 Maple St
Ste 205
Carrollton, GA 30117
101 Newnan St
Carrollton, GA 30117
Phone (770) 830-4900
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770249600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770249600000",
"number": "1023969144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 MAPLE ST STE 205",
"city": "CARROLLTON",
"state": "GA",
"postal_code": "301173259",
"telephone_number": "770-403-8430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 NEWNAN ST",
"city": "CARROLLTON",
"state": "GA",
"postal_code": "301173225",
"telephone_number": "770-830-4900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EYE CARROLLTON PC",
"organizational_subpart": "NO",
"enumeration_date": "2026-02-05",
"last_updated": "2026-02-05",
"certification_date": "2026-02-05",
"status": "A",
"authorized_official_last_name": "GOAD",
"authorized_official_first_name": "REBECCA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "931-436-5382",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carrollton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.