Diamond Vision, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT 1868 Issued in GA

Legal business name

DIAMOND VISION, INC.

Doing business as

20/20 Eyecare

Practice address

2501 Whittlesey Boulevard
Suite a
Columbus, GA 31909

Phone

(706) 507-3937

Fax

(706) 507-3929

NPI assigned

Jun 28, 2006

Last updated

Aug 18, 2019By 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

Dr. Smitesh Jay Patel, O.D.

Title

President/Ceo

Phone

(706) 507-3937

Specialties & licenses 1

Addresses

Other names 1

• 20/20 EYECARE Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

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.

• Matthew Barrett

  • Optometrist
  • Columbus, GA
  • NPI 1033592258
  Medicare reassignment NPD

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566086400000",
    "number": "1083641583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 WHITTLESEY BOULEVARD",
            "address_2": "SUITE A",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "31909",
            "telephone_number": "706-507-3937",
            "fax_number": "706-507-3929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 WHITTLESEY BOULEVARD",
            "address_2": "SUITE A",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "31909",
            "telephone_number": "706-507-3937",
            "fax_number": "706-507-3929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAMOND VISION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-28",
        "last_updated": "2019-08-18",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SMITESH",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "706-507-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT 1868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "20/20 EYECARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "20/20 EYECARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2019; 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.