Organization Active NPI

T&T Eyes, Inc.

  • Optometrist
  • Tucker, GA
National Provider Identifier
1114254125
Registry record updated Dec 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT002034 Issued in GA
Legal business name
T&T EYES, INC.
Practice address
4375 Lawrenceville Hwy
Attn: Vision Center
Tucker, GA 30084-3702
Phone
(770) 939-7576
Fax
(678) 212-5622
NPI assigned
Nov 11, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2022

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

Authorized official

Name
Dr. Minh C Ta, O.D.NPI 1396712816
Title
President
Phone
(770) 331-3926

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPT002034 GA Primary

Addresses

Primary practice location

4375 Lawrenceville Hwy
Attn: Vision Center
Tucker, GA 30084-3702

Mailing address

1088 Grassmeade CT.
Snellville, GA 30078-5501
Phone (770) 331-3926

Other names 1

  • TA, TRUONG & ASSOCIATES, P.C. Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110411000237 GA Part B Supplier - Clinic/Group Practice 8527969583 Receives reassigned benefits from 1 practitioner
Practice locations: Decatur, GA; Tucker, GA

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

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": "1257897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671840000000",
    "number": "1114254125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1088 GRASSMEADE CT.",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300785501",
            "telephone_number": "770-331-3926",
            "fax_number": "678-807-1158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4375 LAWRENCEVILLE HWY",
            "address_2": "ATTN: VISION CENTER",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300843702",
            "telephone_number": "770-939-7576",
            "fax_number": "678-212-5622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T&T EYES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-11",
        "last_updated": "2022-12-24",
        "certification_date": "2022-12-24",
        "status": "A",
        "authorized_official_last_name": "TA",
        "authorized_official_first_name": "MINH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-331-3926",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TA, TRUONG & ASSOCIATES, P.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "TA, TRUONG & ASSOCIATES, P.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Tucker, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.