Cartersvulle Vision

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

LDO001270 Issued in GA

Legal business name

CARTERSVULLE VISION

Practice address

239 Market Place Blvd
Cartersville, GA 30121-2235

Phone

(770) 607-1448

Fax

(770) 607-1408

NPI assigned

Dec 9, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Keith Bachmann, C.E.O.

Title

Owner

Phone

(770) 479-0500

Specialties & licenses 1

Addresses

Other names 1

• Pearle Vision Doing business as

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

{
    "created_epoch": "1386547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386547200000",
    "number": "1104257740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 MARKET PLACE BLVD",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301212235",
            "telephone_number": "770-607-1448",
            "fax_number": "770-607-1408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 MARKET PLACE BLVD",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301212235",
            "telephone_number": "770-607-1448",
            "fax_number": "770-607-1408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARTERSVULLE VISION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-09",
        "last_updated": "2013-12-09",
        "status": "A",
        "authorized_official_last_name": "BACHMANN",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-479-0500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.E.O."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "GA",
            "license": "LDO001270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearle Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Cartersville, GA
• Eyewear Supplier in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2013; 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.