Organization Active NPI

Parkway Eye Clinic, Inc.

  • Eyewear Supplier
  • Forest Park, GA
National Provider Identifier
1104948678
Registry record updated Jan 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
1111 Issued in GA
Legal business name
PARKWAY EYE CLINIC, INC.
Practice address
559 Forest Pkwy
Suite C
Forest Park, GA 30297-2116
Phone
(404) 366-1806
Fax
(404) 361-2203
NPI assigned
Apr 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2010

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

Authorized official

Name
Dr. Karl E. Ohlsson, O.D.NPI 1659486058
Title
Owner
Phone
(404) 366-1806

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 1111 GA Primary

Addresses

Primary practice location

559 Forest Pkwy
Suite C
Forest Park, GA 30297-2116

Mailing address

559 Forest Pkwy
Suite C
Forest Park, GA 30297-2116
Phone (404) 366-1806

National Provider Directory

National Provider Directory

Locations

559 Forest Pkwy
Ste C
Forest Park, GA 30297
Phone (404) 361-2200

200 Central Ave
Orange, NJ 07050
Phone (973) 652-2451

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262649600000",
    "number": "1104948678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "559 FOREST PKWY",
            "address_2": "SUITE C",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "302972116",
            "telephone_number": "404-366-1806",
            "fax_number": "404-361-2203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559 FOREST PKWY",
            "address_2": "SUITE C",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "302972116",
            "telephone_number": "404-366-1806",
            "fax_number": "404-361-2203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKWAY EYE CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2010-01-05",
        "status": "A",
        "authorized_official_last_name": "OHLSSON",
        "authorized_official_first_name": "KARL",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-366-1806",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "GA",
            "license": "1111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Park, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2010; 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.