Digital Vision Group

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

031339 Issued in GA

Legal business name

DIGITAL VISION GROUP

Practice address

5582 Memorial Dr Ste 200
Stone Mountain, GA 30083-3215

Phone

(404) 513-9965

Fax

(404) 231-5434

NPI assigned

Jul 11, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Keith P. Thompson, MD

Title

President

Phone

(404) 513-9965

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1499731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499731200000",
    "number": "1104348267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4338 TOWN COMMONS CIR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303191160",
            "telephone_number": "404-513-9965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5582 MEMORIAL DR STE 200",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833215",
            "telephone_number": "404-513-9965",
            "fax_number": "404-231-5434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGITAL VISION GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-11",
        "last_updated": "2017-07-11",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-513-9965",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "031339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Stone Mountain, GA
• Providers in Stone Mountain, GA by specialty
• Ophthalmology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2017; 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.