NPIMap

Organization Active NPI

Paces West Opticians Incorporated

Doing business as Paces West Eyecare

  • Optician
  • Tucker, GA
National Provider Identifier
1033246533
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
222 Issued in GA
Legal business name
PACES WEST OPTICIANS INCORPORATED
Doing business as
Paces West Eyecare
Practice address
2200 Northlake Pkwy
Suite 150
Tucker, GA 30084-4022
Phone
(770) 938-6690
Fax
(770) 938-6690
NPI assigned
Feb 28, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Clifford Wayne Helms, L.D.O.
Title
President
Phone
(404) 233-6993

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 222 GA Primary

Addresses

Primary practice location

2200 Northlake Pkwy
Suite 150
Tucker, GA 30084-4022

Mailing address

3179 Maple Dr NE
Suite #2
Atlanta, GA 30305-2520
Phone (404) 233-6993

Other names 1

  • Paces West Eyecare Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Paces West Eyecare2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3179 Maple Dr NE
Ste 2
Atlanta, GA 30305
Phone (404) 233-6993

2200 Northlake Pkwy
Ste 150
Tucker, GA 30084
Phone (770) 938-6678

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033246533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3179 MAPLE DR NE",
            "address_2": "SUITE #2",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303052520",
            "telephone_number": "404-233-6993",
            "fax_number": "404-233-4808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 NORTHLAKE PKWY",
            "address_2": "SUITE 150",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844022",
            "telephone_number": "770-938-6690",
            "fax_number": "770-938-6690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACES WEST OPTICIANS INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HELMS",
        "authorized_official_first_name": "CLIFFORD",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-233-6993",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.D.O."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "GA",
            "license": "222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paces West Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tucker, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.