Organization Active NPI

Woolfson Eye Institute LLC

  • Ophthalmology Physician
  • Lawrenceville, GA
National Provider Identifier
1184804833
Registry record updated Nov 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
047023 Issued in GA
Legal business name
WOOLFSON EYE INSTITUTE LLC
Practice address
1980 Riverside Pkwy
Suite 103
Lawrenceville, GA 30043-5943
Phone
(770) 804-1684
Fax
(770) 804-1679
NPI assigned
Nov 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2007

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

Authorized official

Name
Debbie Raascj
Title
Chief Operating Officer
Phone
(770) 804-1684

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 047023 GA Primary

Addresses

Primary practice location

1980 Riverside Pkwy
Suite 103
Lawrenceville, GA 30043-5943

Mailing address

1970 Riverside Pkwy
Suite 102
Lawrenceville, GA 30043-5937
Phone (770) 804-1684

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1194652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194652800000",
    "number": "1184804833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1970 RIVERSIDE PKWY",
            "address_2": "SUITE 102",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300435937",
            "telephone_number": "770-804-1684",
            "fax_number": "770-804-1679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1980 RIVERSIDE PKWY",
            "address_2": "SUITE 103",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300435943",
            "telephone_number": "770-804-1684",
            "fax_number": "770-804-1679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOOLFSON EYE INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-10",
        "last_updated": "2007-11-10",
        "status": "A",
        "authorized_official_last_name": "RAASCJ",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "770-804-1684"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "047023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2007; 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.