Complete Family Eyecare and Optique PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT002005 Issued in GA

Legal business name

COMPLETE FAMILY EYECARE AND OPTIQUE PC

Practice address

2350 Atlanta Hwy Ste 110
Cumming, GA 30040-8027

Phone

(678) 965-5558

Fax

(678) 965-5502

NPI assigned

Jan 14, 2010

Last updated

May 12, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Scott Baylard, ODNPI 1255472916

Title

Owner

Phone

(678) 965-5558

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Kma Healthcare, LLC

  • Clinical Medical Laboratory
  • Cumming, GA
  • NPI 1568054450

  Member Of

  NPD member

Locations

Practitioners 3

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.

• Scott Baylard, O.D.

  • Optometrist
  • Cumming, GA
  • NPI 1255472916
  Medicare reassignment Care Compare group NPD Authorized official
• Krishan Raman Bhima, O.D.

  • Optometrist
  • Cumming, GA
  • NPI 1215272232
  Medicare reassignment Care Compare group NPD
• Alisha Rose Niswonger, OD

  • Occupational Vision Optometrist
  • Alpharetta, GA
  • NPI 1932752458
  NPD

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

{
    "created_epoch": "1263427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683849600000",
    "number": "1033449046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 ATLANTA HWY STE 110",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300408027",
            "telephone_number": "678-965-5558",
            "fax_number": "678-965-5502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 ATLANTA HWY STE 110",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300408027",
            "telephone_number": "678-965-5558",
            "fax_number": "678-965-5502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE FAMILY EYECARE AND OPTIQUE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-14",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A",
        "authorized_official_last_name": "BAYLARD",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-965-5558",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Ann Lioio Colombo, AUD
• Erica Colon
• Robert Devon Comer, D.C.
• Commonwealth Primary Care
• Compassionate Healthcare Management Group, Inc. (Heart of Hospice North Atlanta)
• Comprehensive Dental Care
• Comprehensive Health Services of Greater Atlanta LLC
• Comprehensive Orthopaedic Group
• Compression Therapy Systems, LLC
• Confident Cumming LLC

• Optometrist in Cumming, GA
• Providers in Cumming, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.