Active NPI
E Edward Carman, O.D.
- Optometrist
- Kennesaw, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1008
- Practice address
- 1615 Ridenour Blvd NW
Suite #201
Kennesaw, GA 30152-4463 - Phone
- (770) 499-2020
- NPI assigned
- Mar 20, 2007
- Last updated
- Aug 28, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1008 | GA | Primary |
Addresses
Primary practice location
1615 Ridenour Blvd NW
Suite #201
Kennesaw, GA 30152-4463
Mailing address
1615 Ridenour Blvd NW
Suite #201
Kennesaw, GA 30152-4463
Phone (770) 499-2020
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 581787113 | Other | GA | TAX ID FOR VSP |
| 581787113 | Other | GA | TAX ID FOR COMPBENEFITS |
| 581787113 | Other | GA | TAX ID FOR EYEMED |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
600 Chastain Rd NW
Suite 312
Kennesaw, GA 30144-3047
Phone (770) 428-8090
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.51 of 100
- Quality
- 80.61
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1008 | GA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thomas Eye Group PC | Optometrist | Current | Accepting new patients |
| Eecarman OD PC | Optometrist | Current | Accepting new patients |
| Thomas Eye Group PC | Optometrist | Current | Accepting new patients |
| Thomas Eye Group PC | Optometrist | Current | Accepting new patients |
| Thomas Eye Group PC | Past | Accepting new patients | |
| Optimist LLC | Optometrist | Past | Accepting new patients |
Locations
1615 Ridenour Blvd NW
Ste 201
Kennesaw, GA 30152
Phone (770) 499-2020
2700 Town Center Dr NW
Ste 100
Kennesaw, GA 30144
600 Chastain Rd NW
Ste 312
Kennesaw, GA 30144
Phone (770) 428-8090
11690 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 475-5515
Interoperability endpoints
- eecarman@teg.emadirect.md
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Thomas Eye Group
- Ophthalmology Physician
- Sandy Springs, GA
- NPI 1548271992
Optometrist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377648000000",
"number": "1144345398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1615 RIDENOUR BLVD NW",
"address_2": "SUITE #201",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301524463",
"telephone_number": "770-499-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1615 RIDENOUR BLVD NW",
"address_2": "SUITE #201",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301524463",
"telephone_number": "770-499-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARMAN",
"first_name": "E",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-20",
"last_updated": "2013-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "1008",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID FOR VSP",
"identifier": "581787113",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID FOR COMPBENEFITS",
"identifier": "581787113",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID FOR EYEMED",
"identifier": "581787113",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kennesaw, GA
- Caresouth HHA Holdings of Gainesville, LLC (Enhabit Home Health)
- Carewell Health Services
- Caring Hands Homecare and Nursing Services
- Caring Heart Counseling LLC
- Robert Lee Carlson Jr., M.D.
- Carmichael Medical Supplies LLC
- Carolina Dental Docs on-the-Go, LLC
- Carolina Diagnostics
- Lenai Carraway
- Krystle Carrington, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.