Parkway Family Optical

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

PARKWAY FAMILY OPTICAL

Practice address

530 Forest Pkwy Ste D
Forest Park, GA 30297-2188

Phone

(404) 366-9822

Fax

(404) 608-8591

NPI assigned

Apr 30, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Ricky Scherrelle Bynum

Title

Owner

Phone

(404) 366-9822

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1272585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272585600000",
    "number": "1083931950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 FOREST PKWY STE D",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "302972188",
            "telephone_number": "404-366-9822",
            "fax_number": "404-608-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 FOREST PKWY STE D",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "302972188",
            "telephone_number": "404-366-9822",
            "fax_number": "404-608-8591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKWAY FAMILY OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-30",
        "last_updated": "2010-04-30",
        "status": "A",
        "authorized_official_last_name": "BYNUM",
        "authorized_official_first_name": "RICKY",
        "authorized_official_middle_name": "SCHERRELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-366-9822",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Skye Palmer
• Antoinette Denise Palomino, APRN
• Parkway Clinical Laboratory, Inc.
• Parkway Eye Clinic, Inc.
• Parkway Family Eye Clinic Inc
• Parkway Laboratories, LLC
• Parkway Professional Group LLC
• Parkway Professional Group LLC
• Kanksha Patel, DC
• Phases Medical Equipment and Supplies

• Optician in Forest Park, GA
• Providers in Forest Park, GA by specialty
• Optician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.