NPIMap

Organization Active NPI

American Optical Services LLC

Doing business as The Eye Gallery-Canton

  • Optometrist
  • Canton, GA
National Provider Identifier
1063758761
Registry record updated Dec 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
AMERICAN OPTICAL SERVICES LLC
Doing business as
The Eye Gallery-Canton
Practice address
3760 Sixes Rd
Canton, GA 30114-8192
Phone
(770) 345-3120
Fax
(770) 345-3402
NPI assigned
Dec 27, 2012
Last updated
Dec 27, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2012

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

Authorized official

Name
Erica Perriera
Title
Chief Operating Officer
Phone
(877) 881-0022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X GA Primary

Addresses

Primary practice location

3760 Sixes Rd
Canton, GA 30114-8192

Mailing address

8076 W Sahara Ave
Las Vegas, NV 89117-7930
Phone (877) 881-0022

Other names 1

  • The Eye Gallery-Canton Doing business as

National Provider Directory

National Provider Directory
Tax ID family
American Optical Services LLC9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Locations

3760 Sixes Rd
Canton, GA 30114
Phone (770) 345-3120

NPI Registry JSON

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

{
    "created_epoch": "1356566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356566400000",
    "number": "1063758761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8076 W SAHARA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891177930",
            "telephone_number": "877-881-0022",
            "fax_number": "702-543-0314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3760 SIXES RD",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301148192",
            "telephone_number": "770-345-3120",
            "fax_number": "770-345-3402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN OPTICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-27",
        "last_updated": "2012-12-27",
        "status": "A",
        "authorized_official_last_name": "PERRIERA",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "877-881-0022"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Eye Gallery-Canton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2012; 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.