Gwinnett Ophthalmology PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

GWINNETT OPHTHALMOLOGY PC

Practice address

3840 Peachtree Industrial Blvd Ste 100
Duluth, GA 30096-5032

Phone

(678) 585-1901

Fax

(678) 691-2138

NPI assigned

Mar 25, 2022

Last updated

Apr 5, 2022By 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

Stephen Ume, MDNPI 1558312462

Title

Owner

Phone

(562) 233-8441

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 1

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.

• Stephen C Ume, MD

  • Ophthalmology Physician
  • Duluth, GA
  • NPI 1558312462
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1648166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649116800000",
    "number": "1053061747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3840 PEACHTREE INDUSTRIAL BLVD STE 100",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300965032",
            "telephone_number": "678-585-1901",
            "fax_number": "678-691-2138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3840 PEACHTREE INDUSTRIAL BLVD STE 100",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300965032",
            "telephone_number": "678-585-1901",
            "fax_number": "678-691-2138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GWINNETT OPHTHALMOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-25",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A",
        "authorized_official_last_name": "UME",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-233-8441",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Duluth, GA
• Providers in Duluth, GA by specialty
• Ophthalmology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.