NPIMap

Organization Active NPI

Thomas Eye Group PC

  • Optometrist
  • Stone Mountain, GA
National Provider Identifier
1043032840
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
THOMAS EYE GROUP PC
Practice address
5244 Memorial Dr Ste 1101
Stone Mountain, GA 30083-3157
Phone
(678) 892-2020
NPI assigned
Oct 31, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Authorized official

Name
Paul L Kaufman, MDNPI 1053318550
Title
Medical Director
Phone
(678) 892-2020

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

5244 Memorial Dr Ste 1101
Stone Mountain, GA 30083-3157

Mailing address

5901 Peachtree Dunwoody Rd Ste A500
Atlanta, GA 30328-7162

Other names 1

  • Thomas Eye Group Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040405000273 GA Part B Supplier - Clinic/Group Practice 2567455868 Receives reassigned benefits from 66 practitioners
28 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Morrow, GA; Peachtree City, GA; Roswell, GA; Sandy Springs, GA; Smyrna, GA; Stone Mountain, GA; Suwanee, GA; Woodstock, GA…

Other NPIs on the same Medicare enrollment 27

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 27

National Provider Directory

National Provider Directory
Tax ID family
Thomas Eye Group Atlant18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

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

View all 17

Locations

285 Boulevard NE
Ste 450
Atlanta, GA 30312
Phone (404) 582-0096

9395 The Landing Dr
Ste 200
Douglasville, GA 30135
Phone (770) 739-2768

9875 Medlock Bridge Pkwy
Ste 100
Johns Creek, GA 30022
Phone 7708130026 ext. 122

3960 Shallowford Rd
Ste A
Marietta, GA 30062
Phone (770) 642-4001

6223 Roswell Rd
#B
Sandy Springs, GA 30328
Phone (678) 781-7359

6221 Roswell Rd
Sandy Springs, GA 30328

1465 Satellite Blvd NW
Suwanee, GA 30024
Phone (678) 287-7657

Practitioners & affiliated clinicians

Practitioners 64

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 64

NPI Registry JSON

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

{
    "created_epoch": "1730332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730332800000",
    "number": "1043032840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 PEACHTREE DUNWOODY RD STE A500",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303287162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5244 MEMORIAL DR STE 1101",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833157",
            "telephone_number": "678-892-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS EYE GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-31",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A",
        "authorized_official_last_name": "KAUFMAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "678-892-2020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thomas Eye Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stone Mountain, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.