NPIMap

Organization Active NPI

B. Thompson O.D. and Associates, PC

  • Optometrist
  • Tucker, GA
National Provider Identifier
1093850315
Registry record updated Oct 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT001123 Issued in GA
Legal business name
B. THOMPSON O.D. AND ASSOCIATES, PC
Practice address
4104 La Vista Rd.
Tucker, GA 30084-5347
Phone
(770) 493-6490
Fax
(770) 493-7909
NPI assigned
Feb 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2016

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

Authorized official

Name
Dr. Billy Thompson, O.D.
Title
Ceo
Phone
(404) 237-4922

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X OPT001123 GA Primary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X GA

Addresses

Primary practice location

4104 La Vista Rd.
Tucker, GA 30084-5347

Mailing address

4104 La Vista Rd.
Tucker, GA 30084-5347
Phone (770) 493-6490

Other names 1

  • Atlanta Eyecare Associates, P.C. Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Atlanta Eyecare Associates PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476144000000",
    "number": "1093850315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4104 LA VISTA RD.",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300845347",
            "telephone_number": "770-493-6490",
            "fax_number": "770-493-7909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4104 LA VISTA RD.",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300845347",
            "telephone_number": "770-493-6490",
            "fax_number": "770-493-7909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B. THOMPSON O.D. AND ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2016-10-11",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "BILLY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-237-4922",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT001123",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atlanta Eyecare Associates, P.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Tucker, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2016; 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.