Individual provider Active NPI

Carrie Leigh Hughes

  • Optometrist
  • Roswell, GA
National Provider Identifier
1194167098
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT002992 Issued in GA
Practice address
250 E Crossville Rd
Roswell, GA 30075-3040
Phone
(770) 993-5592
Fax
(770) 993-5595
NPI assigned
Jul 22, 2013
Last updated
Jul 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3113 TN
Optometrist 152W00000X OPC5036 FL
Optometrist 152W00000X 60423082 WA
Optometrist 152W00000X OPT002992 GA Primary

Addresses

Primary practice location

250 E Crossville Rd
Roswell, GA 30075-3040

Mailing address

1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone (703) 847-8899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181017000568 GA Practitioner - Optometry 9234481425

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC5036FLMDOptometrist
60423082WAMDOptometrist
3113TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bolt Eye Group-East Cobb LLC Optometrist CurrentSince Jul 1, 2022 Accepting new patients
Spectacle, LLC Optometrist CurrentSince Nov 22, 2024 Accepting new patients

Locations

100 Perimeter Center Pl NE
Atlanta, GA 30346
Phone (678) 259-0888

5220 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (770) 222-1421

2255 Sewell Mill Rd
Ste 310
Marietta, GA 30062
Phone (770) 578-1900

1135 Woodstock Rd
Roswell, GA 30075
Phone (770) 998-7122

2201 Cobb Pkwy SE
Smyrna, GA 30080
Phone (770) 250-7510

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1194167098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 E CROSSVILLE RD",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300753040",
            "telephone_number": "770-993-5592",
            "fax_number": "770-993-5595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "CARRIE",
        "middle_name": "LEIGH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-22",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3113",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5036",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "60423082",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

Verify at the official NPI Registry.