Eye Site of Duluth, Inc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

EYE SITE OF DULUTH, INC

Practice address

3085 Buford Hwy
Duluth, GA 30096-3353

Phone

(770) 476-3611

Fax

(770) 476-1921

NPI assigned

Oct 19, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Ray Rupured Jr.

Title

Cfo

Phone

(770) 476-3611

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1350604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350604800000",
    "number": "1194078741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3085 BUFORD HWY",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300963353",
            "telephone_number": "770-476-3611",
            "fax_number": "770-476-1921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3085 BUFORD HWY",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300963353",
            "telephone_number": "770-476-3611",
            "fax_number": "770-476-1921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE SITE OF DULUTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-19",
        "last_updated": "2012-10-19",
        "status": "A",
        "authorized_official_last_name": "RUPURED",
        "authorized_official_first_name": "RAY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "770-476-3611",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.