Organization Active NPI

Brown Optical

  • Clinic/Center
  • Duluth, GA
National Provider Identifier
1184168205
Registry record updated Dec 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
LDO2349 Issued in GA
Legal business name
BROWN OPTICAL
Doing business as
Top Optical
Practice address
3751 Satellite Blvd
#200
Duluth, GA 30096-8840
Phone
(770) 696-2039
NPI assigned
Dec 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2016

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

Authorized official

Name
Jae Lee, L D O
Title
President
Phone
(770) 696-2039

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X LDO2349 GA Primary

Addresses

Primary practice location

3751 Satellite Blvd
#200
Duluth, GA 30096-8840

Mailing address

3751 Satellite Blvd,
#200
Duluth, GA 30096
Phone (770) 696-2039

Other names 1

  • Top Optical Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1481155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481155200000",
    "number": "1184168205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3751 SATELLITE BLVD,",
            "address_2": "#200",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "30096",
            "telephone_number": "770-696-2039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3751 SATELLITE BLVD",
            "address_2": "#200",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300968840",
            "telephone_number": "770-696-2039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWN OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-08",
        "last_updated": "2016-12-08",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JAE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-696-2039",
        "authorized_official_credential": "L D O"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "GA",
            "license": "LDO2349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Top Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; 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.