Eyelogic, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

002563 Issued in GA

Legal business name

EYELOGIC, LLC

Doing business as

EyeBelieve EyeCare & Optical

Practice address

1295 Old Peachtree Rd NW Ste 160
Suwanee, GA 30024-2737

Phone

(770) 545-8401

NPI assigned

Dec 30, 2015

Organization subpart

No

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

Authorized official

Name

Sara S Yum, O.D.NPI 1699783332

Title

Optometrist and Owner

Phone

(770) 545-8401

Specialties & licenses 1

Addresses

Other names 1

• EyeBelieve EyeCare & Optical Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

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

• Sara S Yum, O.D

  • Optometrist
  • Suwanee, GA
  • NPI 1699783332
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1451433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451433600000",
    "number": "1114382546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1295 OLD PEACHTREE RD NW STE 160",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300242737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1295 OLD PEACHTREE RD NW STE 160",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300242737",
            "telephone_number": "770-545-8401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYELOGIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-30",
        "last_updated": "2015-12-30",
        "status": "A",
        "authorized_official_last_name": "YUM",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OPTOMETRIST AND OWNER",
        "authorized_official_telephone_number": "770-545-8401",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "002563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EyeBelieve EyeCare & Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Natoya Evans, M.A., B.C.B.A.
• Paul Evans, DO
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• Clarice M Ezeanya, DPT
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• Genevieve L Fairbrother, M.D.

• Optometrist in Suwanee, GA
• Providers in Suwanee, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; 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.