NPIMap

Organization Active NPI

Dawson Vision Center, Inc.

  • Optometrist
  • Dawsonville, GA
National Provider Identifier
1194983403
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1266 Issued in GA
Legal business name
DAWSON VISION CENTER, INC.
Practice address
76 Bethel Dr
Dawsonville, GA 30534-9435
Phone
(706) 531-9900
Fax
(706) 531-9901
NPI assigned
May 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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

Authorized official

Name
Dr. David Grosswald, O.D.NPI 1770543720
Title
Owner/President/Optometrist
Phone
(706) 531-9900

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1266 GA Primary

Addresses

Primary practice location

76 Bethel Dr
Dawsonville, GA 30534-9435

Mailing address

391 Quill Dr
Suite 150
Dawsonville, GA 30534-6527
Phone (706) 531-9900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031231000644 GA Part B Supplier - Clinic/Group Practice 9739088436 Receives reassigned benefits from 3 practitioners
Practice locations: Dawsonville, GA

National Provider Directory

National Provider Directory

Locations

391 Quill Dr
Ste 150
Dawsonville, GA 30534
Phone (706) 531-9900

Practitioners & affiliated clinicians

Practitioners 4

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": "1211500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713225600000",
    "number": "1194983403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "391 QUILL DR",
            "address_2": "SUITE 150",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305346527",
            "telephone_number": "706-531-9900",
            "fax_number": "706-531-9901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 BETHEL DR",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305349435",
            "telephone_number": "706-531-9900",
            "fax_number": "706-531-9901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAWSON VISION CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-23",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A",
        "authorized_official_last_name": "GROSSWALD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER/PRESIDENT/OPTOMETRIST",
        "authorized_official_telephone_number": "706-531-9900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "1266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dawsonville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.