NPIMap

Organization Active NPI

Thomas Eye Group PC

Doing business as Thomas Eye Group

  • Ophthalmology Physician
  • Roswell, GA
National Provider Identifier
1164532529
Registry record updated Nov 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
THOMAS EYE GROUP PC
Doing business as
Thomas Eye Group
Practice address
11690 Alpharetta Hwy
Roswell, GA 30076-3805
Phone
(770) 475-5515
Fax
(770) 343-8884
NPI assigned
Aug 30, 2006
Last updated
Nov 15, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2013

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

Authorized official

Name
Mr. Rod Roeser
Title
Ceo
Phone
(678) 781-7373

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

11690 Alpharetta Hwy
Roswell, GA 30076-3805

Mailing address

5901A Peachtree Dunwoody Rd NE
Ste 500
Atlanta, GA 30328-5382
Phone (678) 892-2020

Other identifiers 1

IdentifierTypeStateIssuer
CB9489OtherGARR MEDICARE

Other names 1

  • Thomas Eye Group Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040405000273 GA Part B Supplier - Clinic/Group Practice 2567455868 Receives reassigned benefits from 66 practitioners
28 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Morrow, GA; Peachtree City, GA; Roswell, GA; Sandy Springs, GA; Smyrna, GA; Stone Mountain, GA; Suwanee, GA; Woodstock, GA…

Other NPIs on the same Medicare enrollment 27

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 27

National Provider Directory

National Provider Directory

Locations

5901 Peachtree Dunwoody Rd
Ste A500
Sandy Springs, GA 30328

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": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384473600000",
    "number": "1164532529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901A PEACHTREE DUNWOODY RD NE",
            "address_2": "STE 500",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285382",
            "telephone_number": "678-892-2020",
            "fax_number": "678-538-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11690 ALPHARETTA HWY",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300763805",
            "telephone_number": "770-475-5515",
            "fax_number": "770-343-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS EYE GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2013-11-15",
        "status": "A",
        "authorized_official_last_name": "ROESER",
        "authorized_official_first_name": "ROD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-781-7373",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CB9489",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thomas Eye Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2013; 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.