KMJ Eyecare

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

KMJ EYECARE

Practice address

1735 S Highway 27
Carrollton, GA 30117-8941

Phone

(770) 214-7310

NPI assigned

May 4, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Kristi Merritt, OD

Title

Ceo

Phone

(404) 668-4485

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621987200000",
    "number": "1073196374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 HARRISON CT NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303292764",
            "telephone_number": "404-668-4485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 S HIGHWAY 27",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301178941",
            "telephone_number": "770-214-7310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Highway 61",
            "address_purpose": "LOCATION",
            "city": "Villa Rica",
            "state": "GA",
            "postal_code": "301804969",
            "country_code": "US",
            "telephone_number": "770-459-8733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KMJ EYECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-04",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A",
        "authorized_official_last_name": "MERRITT",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-668-4485",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmjeyecare@protonmail.com",
            "affiliation": "N",
            "address_1": "1735 S Highway 27",
            "city": "Carrollton",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301178941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shanequa Kimble, LCSW
• Jacob Mitchell Kincaid
• Pamela Kinnebrew
• Bryan P Kirby, M.D.
• Tonya Klemmer, LCSW
• Linda Joy Knight-Nelson, M.D.
• Amanda Phillips Kranz, RD, LD
• Jessica Krish, M.ED CCC-SLP
• Mary Kate Kuchinski
• Mark Alan Kunkel, PH.D.

• Optometrist in Carrollton, GA
• Providers in Carrollton, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; 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.