NPIMap

Organization Active NPI

Smyrna Eye Group, P.C.

  • Optometrist
  • Smyrna, GA
National Provider Identifier
1124199534
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1791 Issued in GA
Legal business name
SMYRNA EYE GROUP, P.C.
Practice address
4280 E West Connector SE
Smyrna, GA 30082-4804
Phone
(704) 354-4577
Fax
(770) 435-4555
NPI assigned
Nov 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Authorized official

Name
Dr. James Sean Harper, ODNPI 1447254289
Title
Optometrist
Phone
(770) 435-4457

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 1791 GA Primary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 740 GA

Addresses

Primary practice location

4280 E West Connector SE
Smyrna, GA 30082-4804

Mailing address

4280 E West Connector SE
Smyrna, GA 30082-4804
Phone (770) 435-4457

Other practice location 1

4280 E West Connector SE
Smyrna, GA 30082-4804
Phone (770) 435-4457

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040601000406 GA Part B Supplier - Clinic/Group Practice 2163403510 Receives reassigned benefits from 6 practitioners
Practice locations: Smyrna, GA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

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": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724803200000",
    "number": "1124199534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4280 E WEST CONNECTOR SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300824804",
            "telephone_number": "770-435-4457",
            "fax_number": "770-435-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4280 E WEST CONNECTOR SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300824804",
            "telephone_number": "704-354-4577",
            "fax_number": "770-435-4555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4280 E West Connector SE",
            "address_purpose": "LOCATION",
            "city": "Smyrna",
            "state": "GA",
            "postal_code": "300824804",
            "country_code": "US",
            "telephone_number": "770-435-4457",
            "fax_number": "770-435-4555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SMYRNA EYE GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A",
        "authorized_official_last_name": "HARPER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "SEAN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "770-435-4457",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "1791",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "740",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; 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.