Organization Active NPI

Expert Eye Care, Inc

  • Clinic/Center
  • Woodstock, GA
National Provider Identifier
1053634808
Registry record updated Mar 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
OPT 002165 Issued in GA
Legal business name
EXPERT EYE CARE, INC
Practice address
6435 Bells Ferry Rd
Woodstock, GA 30189-2317
Phone
(770) 926-4810
NPI assigned
Mar 9, 2010
Last updated
Mar 9, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2010

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

Authorized official

Name
Dr. Charles Shih Yu, O.D.
Title
Optometrist
Phone
(770) 591-9938

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X OPT 002165 GA Primary

Addresses

Primary practice location

6435 Bells Ferry Rd
Woodstock, GA 30189-2317

Mailing address

1038 Alyssum Dr NW
Acworth, GA 30102-8124
Phone (770) 591-9938

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268092800000",
    "number": "1053634808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1038 ALYSSUM DR NW",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301028124",
            "telephone_number": "770-591-9938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6435 BELLS FERRY RD",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301892317",
            "telephone_number": "770-926-4810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPERT EYE CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-09",
        "last_updated": "2010-03-09",
        "status": "A",
        "authorized_official_last_name": "YU",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "SHIH",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "770-591-9938",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "GA",
            "license": "OPT 002165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; 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.