Organization Active NPI

Rimavision, Inc (Dba, Rimavision Eye Center

  • Ophthalmology Physician
  • Stone Mountain, GA
National Provider Identifier
1194252296
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
RIMAVISION, INC (DBA, RIMAVISION EYE CENTER
Practice address
5226 Stone Mountain Hwy Ste B
Stone Mountain, GA 30087-3455
Phone
(404) 578-9117
NPI assigned
May 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Benjamin Akpocha Idiale, LDONPI 1417484510
Title
Ceo
Phone
(404) 578-9117

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 156FX1800X LDO002703 GA
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

5226 Stone Mountain Hwy Ste B
Stone Mountain, GA 30087-3455

Mailing address

5226 Stone Mountain Hwy Ste B
Stone Mountain, GA 30087-3455
Phone (404) 578-9117

Other names 1

  • Rimavision Eye Center Doing business as

National Provider Directory

National Provider Directory

Locations

5226 Stone Mountain Hwy
Ste B
Stone Mountain, GA 30087
Phone (404) 578-9117

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1495152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1194252296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5226 STONE MOUNTAIN HWY STE B",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300873455",
            "telephone_number": "404-578-9117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5226 STONE MOUNTAIN HWY STE B",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300873455",
            "telephone_number": "404-578-9117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIMAVISION, INC (DBA, RIMAVISION EYE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-19",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "IDIALE",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "AKPOCHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-578-9117",
        "authorized_official_credential": "LDO"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "GA",
            "license": "LDO002703",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rimavision Eye Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rimavision Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stone Mountain, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.