Active NPI
Carrie Leigh Hughes
- Optometrist
- Roswell, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT002992
- 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, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181017000568 | GA | Practitioner - Optometry | 9234481425 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC5036 | FL | MD | Optometrist |
| 60423082 | WA | MD | Optometrist |
| 3113 | TN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bolt Eye Group-East Cobb LLC | Optometrist | Current | Accepting new patients |
| Spectacle, LLC | Optometrist | Current | 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.
-
- Optometrist
- Marietta, GA
- NPI 1548996754
-
- Optometrist
- Smyrna, GA
- NPI 1821688268
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.