Visionary Dry Eye Institute

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

Legal business name

VISIONARY DRY EYE INSTITUTE

Practice address

2550 Windy Hill Rd SE Ste 320
Marietta, GA 30067-8655

Phone

(770) 428-0414

Fax

(770) 428-0415

NPI assigned

Dec 2, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Janelle L Davison, ODNPI 1053475855

Title

President

Phone

(770) 428-0414

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Janelle Lynette Davison, O.D.

  • Optometrist
  • Smyrna, GA
  • NPI 1053475855
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1733097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735516800000",
    "number": "1134945447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 WINDY HILL RD SE STE 320",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678655",
            "telephone_number": "770-428-0414",
            "fax_number": "770-428-0415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 WINDY HILL RD SE STE 320",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678655",
            "telephone_number": "770-428-0414",
            "fax_number": "770-428-0415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISIONARY DRY EYE INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-02",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A",
        "authorized_official_last_name": "DAVISON",
        "authorized_official_first_name": "JANELLE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-428-0414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Corneal and Contact Management Optometrist in Marietta, GA
• Providers in Marietta, GA by specialty
• Corneal and Contact Management Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.