Humberto C. Fallas, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT001975 Issued in GA

Practice address

69 Griffin St
McDonough, GA 30253-3138

Phone

(770) 954-9898

Fax

(770) 954-9147

NPI assigned

May 25, 2007

Last updated

Apr 4, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 2001

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Humberto Fallas P.C.

  dba Fallas Family Vision

  • Optometrist
  • McDonough, GA
  • NPI 1346436961
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554336000000",
    "number": "1093926495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 GRIFFIN ST",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302533138",
            "telephone_number": "770-954-9898",
            "fax_number": "770-954-9147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 GRIFFIN ST",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302533138",
            "telephone_number": "770-954-9898",
            "fax_number": "770-954-9147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALLAS",
        "first_name": "HUMBERTO",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-25",
        "last_updated": "2019-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00003708",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT001975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Expert Doctors of Physical Therapy (Total Athlete Sports Medicine)
• Ez Ride Mobility LLC
• Faery Medical, LLC
• Faith Medical Transport Services LLC
• Faith White Counseling and Consulting
• Family Medical and Urgent Care Clinic of McDonough, LLC (Family Health Clinic)
• Family Medical Associates, LLC
• Family Orthodontics of McDonough, LLC
• Family Support Circle, Inc.
• Family United Home Care Services LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.