Miraflores Eyecare, P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2030 Issued in GA

Legal business name

MIRAFLORES EYECARE, P.C.

Practice address

6995 Concourse Pkwy
Douglasville, GA 30134-4551

Phone

(770) 489-2622

Fax

(770) 489-8318

NPI assigned

Dec 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Kathleen Miraflores, O.D.

Title

Optometrist

Phone

(770) 612-1372

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053472308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2783 BENTLEY PL SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300675324",
            "telephone_number": "770-612-1372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6995 CONCOURSE PKWY",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301344551",
            "telephone_number": "770-489-2622",
            "fax_number": "770-489-8318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRAFLORES EYECARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MIRAFLORES",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "770-612-1372",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "2030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Douglasville, GA
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• Optometrist in Georgia

• 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.