Active NPI
Christopher David Easley, OD
- Optometrist
- Johns Creek, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3024
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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 100
- Quality
- 94
- Promoting interoperability
- 71
- Improvement activities
- 40
- Cost
- 77.3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3024 | GA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Milan Eye LLC | Current | 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.
-
- Ambulatory Surgical Clinic/Center
- Alpharetta, GA
- NPI 1164938825
-
- Ambulatory Surgical Clinic/Center
- Buford, GA
- NPI 1609285386
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2018; 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.