Individual provider Active NPI

Christopher David Easley, OD

  • Optometrist
  • Johns Creek, GA
National Provider Identifier
1174067136
Registry record updated May 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3024 Issued in GA
Practice address
6300 Hospital Pkwy Ste 325
Johns Creek, GA 30097
Phone
(678) 381-2020
Fax
(678) 381-2015
NPI assigned
Dec 10, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Optometrist 152W00000X 3024 GA Primary

Addresses

Primary practice location

6300 Hospital Pkwy Ste 325
Johns Creek, GA 30097

Mailing address

1300 Peachtree Industrial Blvd Ste 1201
Suwanee, GA 30024-4550
Phone (678) 381-2020

Other practice location 1

1040 Lancaster Sq
Roswell, GA 30076-6327
Phone (870) 318-5083

Other practice location 2

3975 Old Milton Pkwy Ste 2
Alpharetta, GA 30005-4467
Phone (678) 624-7766

Other practice location 3

217 Riverstone Dr
Canton, GA 30114-5256
Phone (770) 345-5220

Other practice location 4

217 Riverstone Dr
Canton, GA 30114-5256
Phone (770) 345-5220

Other names 1

  • Christopher David Easley Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171114002267 GA Practitioner - Optometry 9133485766 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Milan Eye LLCGroup PAC ID 2668519109, 21 clinicians

Practice addresses (Care Compare)

11315 Johns Creek Pkwy
Suite 300
Johns Creek, GA 30097-1517
Phone (678) 381-2020

Merit-based Incentive Payment System (MIPS)

Final score
84.14 of 100Reported as group
Quality
94
Promoting interoperability
71
Improvement activities
40
Cost
77.3

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3024GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Milan Eye LLC CurrentSince Mar 18, 2018 Accepting new patients
Alpharetta Eye Surgery Center LLC Past Accepting new patients
Buford Eye Surgery Center Past Accepting new patients

Locations

2555 Westside Pkwy
Ste 300
Alpharetta, GA 30004

73 Prestige Ln
Ste 201
Dawsonville, GA 30534

6300 Hospital Pkwy
Ste 325
Johns Creek, GA 30097

1300 Peachtree Industrial Blvd
Ste 1201
Suwanee, GA 30024
Phone (770) 614-6266

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1481328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526515200000",
    "number": "1174067136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 PEACHTREE INDUSTRIAL BLVD STE 1201",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300244550",
            "telephone_number": "678-381-2020",
            "fax_number": "678-381-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 HOSPITAL PKWY STE 325",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "30097",
            "telephone_number": "678-381-2020",
            "fax_number": "678-381-2015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1040 Lancaster Sq",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "GA",
            "postal_code": "300766327",
            "country_code": "US",
            "telephone_number": "870-318-5083",
            "fax_number": "870-318-5083",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3975 Old Milton Pkwy Ste 2",
            "address_purpose": "LOCATION",
            "city": "Alpharetta",
            "state": "GA",
            "postal_code": "300054467",
            "country_code": "US",
            "telephone_number": "678-624-7766",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "217 Riverstone Dr",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "GA",
            "postal_code": "301145256",
            "country_code": "US",
            "telephone_number": "770-345-5220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "217 Riverstone Dr",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "GA",
            "postal_code": "301145256",
            "country_code": "US",
            "telephone_number": "770-345-5220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EASLEY",
        "first_name": "CHRISTOPHER",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-10",
        "last_updated": "2018-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "3024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTOPHER",
            "last_name": "EASLEY",
            "middle_name": "DAVID",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Johns Creek, GA

Sources for this page

Verify at the official NPI Registry.