Organization Active NPI

Gray W. Sass, O.D., Family Eye Care, LLC

  • Optometrist
  • Marietta, GA
National Provider Identifier
1184977993
Registry record updated Oct 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
00759 Issued in GA
Legal business name
GRAY W. SASS, O.D., FAMILY EYE CARE, LLC
Practice address
1545 Powers Ferry Rd SE
Marietta, GA 30067-9412
Phone
(770) 952-6412
Fax
(770) 953-2738
NPI assigned
Oct 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2012

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

Authorized official

Name
Dr. Gray W. Sass, O.D.
Title
Owner
Phone
(770) 952-6412

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 00759 GA Primary

Addresses

Primary practice location

1545 Powers Ferry Rd SE
Marietta, GA 30067-9412

Mailing address

1545 Powers Ferry Rd SE
Marietta, GA 30067-9412
Phone (770) 952-6412

National Provider Directory

National Provider Directory

Locations

1545 Powers Ferry Rd SE
Marietta, GA 30067
Phone (770) 952-6412

NPI Registry JSON

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

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350432000000",
    "number": "1184977993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 POWERS FERRY RD SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300679412",
            "telephone_number": "770-952-6412",
            "fax_number": "770-953-2738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 POWERS FERRY RD SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300679412",
            "telephone_number": "770-952-6412",
            "fax_number": "770-953-2738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAY W. SASS, O.D., FAMILY EYE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-17",
        "last_updated": "2012-10-17",
        "status": "A",
        "authorized_official_last_name": "SASS",
        "authorized_official_first_name": "GRAY",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-952-6412",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "00759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; 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.