NPIMap

Organization Active NPI

Hiram Vision Center, Inc.

  • Optometrist
  • Hiram, GA
National Provider Identifier
1144468281
Registry record updated Jan 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1072 Issued in GA
Legal business name
HIRAM VISION CENTER, INC.
Practice address
4795 Jimmy Lee Smith Pkwy
BLDG 100 Suite 100
Hiram, GA 30141-2792
Phone
(770) 222-6362
NPI assigned
Jan 28, 2009
Last updated
Jan 28, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2009

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

Authorized official

Name
Dr. Robert M Blum, O.D.NPI 1316099088
Title
Owner
Phone
(678) 457-0843

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1072 GA Primary

Addresses

Primary practice location

4795 Jimmy Lee Smith Pkwy
BLDG 100 Suite 100
Hiram, GA 30141-2792

Mailing address

4795 Jimmy Lee Smith Pkwy
BLDG 100 Suite 100
Hiram, GA 30141-2792
Phone (770) 222-6362

National Provider Directory

National Provider Directory

Locations

4795 Jimmy Lee Smith Pkwy
Hiram, GA 30141

4795 Jimmy Lee Smith Pkwy
Bldg 100
Hiram, GA 30141
Phone (770) 222-6362

4795 Jimmy Lee Smith Pkwy
Ste 100
Hiram, GA 30141
Phone (770) 222-6362

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1233100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233100800000",
    "number": "1144468281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4795 JIMMY LEE SMITH PKWY",
            "address_2": "BLDG 100 SUITE 100",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "301412792",
            "telephone_number": "770-222-6362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4795 JIMMY LEE SMITH PKWY",
            "address_2": "BLDG 100 SUITE 100",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "301412792",
            "telephone_number": "770-222-6362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIRAM VISION CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-28",
        "last_updated": "2009-01-28",
        "status": "A",
        "authorized_official_last_name": "BLUM",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-457-0843",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "1072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hiram, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2009; 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.