Organization Active NPI

Happy Eyes LLC

Doing business as Happy Eyes

  • Optometrist
  • Canton, GA
National Provider Identifier
1104430537
Registry record updated Nov 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
HAPPY EYES LLC
Doing business as
Happy Eyes
Practice address
112A Riverstone Pkwy
Canton, GA 30114-2448
Phone
(770) 874-2020
NPI assigned
Sep 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2020

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

Authorized official

Name
Dr. Rafael Gamba, OD
Title
Owner
Phone
(770) 361-9481

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary
Pediatric OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WP0200X

Addresses

Primary practice location

112A Riverstone Pkwy
Canton, GA 30114-2448

Mailing address

PO Box 4398
Canton, GA 30114-0017
Phone (770) 874-2020

Other names 1

  • Happy Eyes Doing business as

National Provider Directory

National Provider Directory

Locations

108 Riverstone Pkwy
Canton, GA 30114

112 Riverstone Pkwy
#A
Canton, GA 30114
Phone (770) 874-2020

NPI Registry JSON

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605744000000",
    "number": "1104430537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4398",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301140017",
            "telephone_number": "770-874-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112A RIVERSTONE PKWY",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301142448",
            "telephone_number": "770-874-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAPPY EYES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-02",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A",
        "authorized_official_last_name": "GAMBA",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-361-9481",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Happy Eyes",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Happy Eyes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; 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.