Organization Active NPI

Dr.Vonda Ray LLC

  • Optometrist
  • Atlanta, GA
National Provider Identifier
1164667630
Registry record updated Dec 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1783 Issued in GA
Legal business name
DR.VONDA RAY LLC
Practice address
2201 Henderson Mill Rd NE
Atlanta, GA 30345-2711
Phone
(770) 934-3777
Fax
(770) 938-2376
NPI assigned
Dec 11, 2008
Last updated
Dec 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2008

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

Authorized official

Name
Dr. Vonda Ray, O.D.NPI 1942228663
Title
Doctor of Optometry
Phone
(678) 410-2135

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1783 GA Primary

Addresses

Primary practice location

2201 Henderson Mill Rd NE
Atlanta, GA 30345-2711

Mailing address

2201 Henderson Mill Rd NE
Atlanta, GA 30345-2711
Phone (770) 934-3777

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1228953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228953600000",
    "number": "1164667630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 HENDERSON MILL RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303452711",
            "telephone_number": "770-934-3777",
            "fax_number": "770-938-2376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 HENDERSON MILL RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303452711",
            "telephone_number": "770-934-3777",
            "fax_number": "770-938-2376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR.VONDA RAY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-11",
        "last_updated": "2008-12-11",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "VONDA",
        "authorized_official_title_or_position": "DOCTOR OF OPTOMETRY",
        "authorized_official_telephone_number": "678-410-2135",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "1783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2008; 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.