Eyedoc Investments LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

002860 Issued in GA

Legal business name

EYEDOC INVESTMENTS LLC

Doing business as

EyeDeal Family Eye Care

Practice address

3290 Buford Dr
Suite B-2
Buford, GA 30519-4928

Phone

(724) 799-1387

NPI assigned

Oct 13, 2016

Last updated

Oct 13, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Derrick Badaracco, ODNPI 1457767253

Title

Optometrist/President

Phone

(724) 799-1387

Specialties & licenses 1

Addresses

Other names 1

• EyeDeal Family Eye Care Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

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.

• Derrick Badaracco

  • Optometrist
  • Buford, GA
  • NPI 1457767253
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1476316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476316800000",
    "number": "1174073134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3290 BUFORD DR",
            "address_2": "SUITE B-2",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305194928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3290 BUFORD DR",
            "address_2": "SUITE B-2",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305194928",
            "telephone_number": "724-799-1387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEDOC INVESTMENTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-13",
        "last_updated": "2016-10-13",
        "status": "A",
        "authorized_official_last_name": "BADARACCO",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_title_or_position": "OPTOMETRIST/PRESIDENT",
        "authorized_official_telephone_number": "724-799-1387",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "002860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EyeDeal Family Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pamela Kay Evans, OTR
• William Joseph Evans, PHARMD
• Evermed Supply Inc
• Exclusive Homecare Agency LLC
• Eye Site of Buford, Inc.
• Eyewatch Eye Care and Associates LLC
• Idiat Oyefunke Falade
• Family First Mental Health Services LLC (Family First Mental Health Services)
• Family First Palliative Care LLC (Family First Palliative Care)
• Thomas Myron Fancher III

• Optometrist in Buford, GA
• Providers in Buford, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2016; 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.