Georgia Vision Institute

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

GEORGIA VISION INSTITUTE

Practice address

158 Clinic Ave
Carrollton, GA 30117

Phone

(770) 834-2020

Fax

(770) 834-2531

NPI assigned

Jul 25, 2006

Organization subpart

No

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

Authorized official

Name

Lauren West Yancey, MDNPI 1386872950

Title

Owner

Phone

(770) 834-1008

Specialties & licenses 1

Addresses

Other names 1

• lensmasters Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Georgia Vision Institute

  • Ophthalmology Physician
  • Carrollton, GA
  • NPI 1689100109

  4880962091

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Georgia Vision Institute2 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.

• Georgia Vision Institute

  • Ophthalmology Physician
  • Carrollton, GA
  • NPI 1689100109
  NPD tax ID

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lauren West Yancey, M.D.

  • Ophthalmology Physician
  • Carrollton, GA
  • NPI 1386872950
  NPD Authorized official
• Cynthia Rose Entrekin, OD

  • Optometrist
  • Villa Rica, GA
  • NPI 1629701818
  NPD
• David S Hemmings, M.D.

  • Ophthalmology Physician
  • Douglasville, GA
  • NPI 1376549469
  NPD
• Kellie Stewart, O.D.

  • Optometrist
  • Atlanta, GA
  • NPI 1972896967
  NPD
• John Weathers Jr., OD

  • Optometrist
  • Cumming, GA
  • NPI 1790134021
  NPD
• Joseph H Johnson, OD

  • Optometrist
  • Boise, ID
  • NPI 1114418480
  NPD
• Mark Richard Ortiz, OD

  • Optometrist
  • Birmingham, AL
  • NPI 1487183927
  NPD

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534896000000",
    "number": "1104849124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 CLINIC AVE",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301174414",
            "telephone_number": "770-834-2020",
            "fax_number": "770-834-2531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 CLINIC AVE",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "30117",
            "telephone_number": "770-834-2020",
            "fax_number": "770-834-2531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA VISION INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2018-08-22",
        "status": "A",
        "authorized_official_last_name": "YANCEY",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "WEST",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-834-1008",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "lensmasters",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "lensmasters",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Georgia Cataract and Eye Specialty Center LLC
• Georgia CVS Pharmacy LLC
• Georgia CVS Pharmacy, L.L.C.
• Georgia Interventional Pain - H, LLC
• Georgia Pain and Wellness Center, LLC
• Georgia Vision Institute
• Gabriel Gherman, PHARM D
• Ophelia P Gherman, M.D.
• Martha Krickel Gibbs, NP
• Sarah Colleen Gibbs, MS-CCC SLP

• Durable Medical Equipment & Medical Supplies in Carrollton, GA
• Providers in Carrollton, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.