Organization Active NPI

Veritas Eye Care LLC

  • Optometrist
  • Athens, GA
National Provider Identifier
1033809215
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
VERITAS EYE CARE LLC
Practice address
5550 Parkway Blvd Veritas Eye Care
Costco Optical
Athens, GA 30606
Phone
(706) 247-8149
Fax
(706) 247-8150
NPI assigned
May 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2023

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

Authorized official

Name
Dr. Rajan Thomas, ODNPI 1972584308
Title
President
Phone
(845) 300-3792

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

5550 Parkway Blvd Veritas Eye Care
Costco Optical
Athens, GA 30606

Mailing address

2962 Heart Pine Way
Buford, GA 30519-7639
Phone (845) 300-3792

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241010000192 GA Part B Supplier - Clinic/Group Practice 2466984877 Receives reassigned benefits from 1 practitioner
Practice locations: Athens, GA

National Provider Directory

National Provider Directory

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": "1683676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683676800000",
    "number": "1033809215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2962 HEART PINE WAY",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305197639",
            "telephone_number": "845-300-3792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5550 PARKWAY BLVD VERITAS EYE CARE",
            "address_2": "COSTCO OPTICAL",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "30606",
            "telephone_number": "706-247-8149",
            "fax_number": "706-247-8150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERITAS EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-10",
        "last_updated": "2023-05-10",
        "certification_date": "2023-04-28",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "RAJAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-300-3792",
        "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 Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; 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.

Verify at the official NPI Registry.