Olive Eyecare Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

OLIVE EYECARE INC

Doing business as

Olive Eyecare INC

Practice address

2427 Gresham Rd SE
Atlanta, GA 30316-3709

Phone

(770) 743-6971

NPI assigned

May 6, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Tiffany D Brown

Title

Optometrist

Phone

(225) 747-7597

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Olive Eyecare INC Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1620259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620691200000",
    "number": "1184208290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4480H S COBB DR SE STE 124",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806958",
            "telephone_number": "770-743-6971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2427 GRESHAM RD SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303163709",
            "telephone_number": "770-743-6971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVE EYECARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-06",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "225-747-7597",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003126245A",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "CONNECTURL",
            "affiliation": "N",
            "address_1": "2427 Gresham Rd SE",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303163709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Olive Eyecare INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Olive Eyecare INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Noelle Yaeger Oleary, MPH, RD, LD
• Anne Olesen, P.A.
• Jeanine Oliga, MD
• Morcquess Dae-Oni'Lei Oliphant, MEDICAL STUDENT
• Olive Branch Hospice LLC
• Denise K. Olive, M.S.
• Kathryn Preston Olive, PT
• Priscila J Oliveira Penzenik
• Alessandro Rocha Oliveira, ATC
• Ann Sabah Oliveira, AGACNP-BC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; 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.