Organization Active NPI

Eye-Sight Laser Vision Centers, LLC

Doing business as EyeSight Laser Center

  • Specialist
  • Atlanta, GA
National Provider Identifier
1083869937
Registry record updated Nov 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
083232LGB Issued in GA
Legal business name
EYE-SIGHT LASER VISION CENTERS, LLC
Doing business as
EyeSight Laser Center
Practice address
3350 Peachtree Rd NE
Suite140
Atlanta, GA 30326-1039
Phone
(404) 442-9577
Fax
(404) 442-9941
NPI assigned
Nov 19, 2008
Last updated
Nov 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2008

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

Authorized official

Name
Dennis Claude Matzkin
Title
Medical Director
Phone
(404) 442-9577

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 083232LGB GA Primary

Addresses

Primary practice location

3350 Peachtree Rd NE
Suite140
Atlanta, GA 30326-1039

Mailing address

3350 Peachtree Rd NE
Suite140
Atlanta, GA 30326-1039
Phone (404) 442-9577

Other names 1

  • EyeSight Laser Center Doing business as

National Provider Directory

National Provider Directory

Locations

3350 Peachtree Rd NE
Ste 140
Atlanta, GA 30326
Phone (404) 442-9577

NPI Registry JSON

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

{
    "created_epoch": "1227052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227052800000",
    "number": "1083869937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 PEACHTREE RD NE",
            "address_2": "SUITE140",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303261039",
            "telephone_number": "404-442-9577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 PEACHTREE RD NE",
            "address_2": "SUITE140",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303261039",
            "telephone_number": "404-442-9577",
            "fax_number": "404-442-9941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE-SIGHT LASER VISION CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-19",
        "last_updated": "2008-11-19",
        "status": "A",
        "authorized_official_last_name": "MATZKIN",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "CLAUDE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "404-442-9577"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "083232LGB",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EyeSight Laser Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2008; 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.