NPIMap

Organization Active NPI

Briggs Vision Group, P.C.

  • Optometrist
  • Dunwoody, GA
National Provider Identifier
1174716740
Registry record updated Nov 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
BRIGGS VISION GROUP, P.C.
Practice address
1637 Mount Vernon Rd
Suite 100
Dunwoody, GA 30338-4205
Phone
(770) 396-3460
NPI assigned
Aug 27, 2007
Last updated
Nov 7, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2007

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

Authorized official

Name
Mrs. Angela Turner Deriso
Title
Office Manager
Phone
(770) 396-3460

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

1637 Mount Vernon Rd
Suite 100
Dunwoody, GA 30338-4205

Mailing address

1637 Mount Vernon Rd
Suite 100
Dunwoody, GA 30338-4205

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040419000975 GA Part B Supplier - Clinic/Group Practice 4385639384 Receives reassigned benefits from 7 practitioners
Practice locations: Dunwoody, GA

National Provider Directory

National Provider Directory

Locations

1637 Mount Vernon Rd
Ste 100
Dunwoody, GA 30338
Phone (770) 396-3460

Practitioners & affiliated clinicians

Practitioners 8

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": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194393600000",
    "number": "1174716740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1637 MOUNT VERNON RD",
            "address_2": "SUITE 100",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303384205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1637 MOUNT VERNON RD",
            "address_2": "SUITE 100",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303384205",
            "telephone_number": "770-396-3460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGGS VISION GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-27",
        "last_updated": "2007-11-07",
        "status": "A",
        "authorized_official_last_name": "DERISO",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "TURNER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "770-396-3460",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunwoody, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; 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.