Organization Active NPI

T&T Eyecare, LLC

  • Optometrist
  • Decatur, GA
National Provider Identifier
1114468089
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 EYECARE, LLC
Practice address
2570 Blackmon Dr.
Suite 350
Decatur, GA 30033
Phone
(678) 846-2000
Fax
(678) 212-5622
NPI assigned
Mar 13, 2017
Organization subpart
Yes
Parent organization
T&T EYES, INC.As reported in NPPES

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 Cong Ta, O.D.
Title
President
Phone
(770) 331-3926

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPT002034 GA Primary

Addresses

Primary practice location

2570 Blackmon Dr.
Suite 350
Decatur, GA 30033

Mailing address

2570 Blackmon Dr Ste 350
Decatur, GA 30033-6197
Phone (678) 846-2000

Other names 1

  • Specs Appeal Doing business as

National Provider Directory

National Provider Directory
Part of
T T Eyes Inc

Locations

2570 Blackmon Dr
Ste 350
Decatur, GA 30033
Phone (678) 846-2000

2570 Blackmon Dr
Ste 360
Decatur, GA 30033

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1489363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671840000000",
    "number": "1114468089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2570 BLACKMON DR STE 350",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300336197",
            "telephone_number": "678-846-2000",
            "fax_number": "678-212-5622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2570 BLACKMON DR.",
            "address_2": "SUITE 350",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "30033",
            "telephone_number": "678-846-2000",
            "fax_number": "678-212-5622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T&T EYECARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "T&T EYES, INC.",
        "enumeration_date": "2017-03-13",
        "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": "CONG",
        "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": "Specs Appeal",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Decatur, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.