Eid Vision Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT002360 Issued in GA

Legal business name

EID VISION INC

Practice address

4045 Wetherburn Way Ste 1
Peachtree Corners, GA 30092-4611

Phone

(770) 441-1211

NPI assigned

Feb 28, 2018

Organization subpart

No

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

Authorized official

Name

Mohamed Eid, ODNPI 1003030156

Title

Optometrist

Phone

(770) 441-1211

Specialties & licenses 1

Addresses

Other names 1

• Peachtree Corners Eye Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 2

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

• Mohamed Eid, O.D.

  • Optometrist
  • Norcross, GA
  • NPI 1003030156

  GA

  Medicare reassignment Care Compare group Authorized official
• Michael K Choi, O.D.

  • Optometrist
  • Peachtree Corners, GA
  • NPI 1710471370

  GA, Optometrist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1519776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679529600000",
    "number": "1124520788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4045 WETHERBURN WAY STE 1",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300924611",
            "telephone_number": "770-441-1211",
            "fax_number": "770-448-9141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 WETHERBURN WAY STE 1",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300924611",
            "telephone_number": "770-441-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EID VISION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-28",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A",
        "authorized_official_last_name": "EID",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "770-441-1211",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peachtree Corners Eye Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christine Alicia Dunham, APRN
• Kelsey Dykes
• Emoni Ealom
• Francisco J Echevarria-Santiago, MD
• Danielle Edwards
• Eilato Care Consulting LLC
• Deema Elchoufi, MD
• Elevation Community Network LLC
• Nada Maher Elhayek, CF-SLP
• Elliston Pediatrics LLC

• Optometrist in Peachtree Corners, GA
• Providers in Peachtree Corners, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; 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.