Suwanee Eye Center

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT2033 Issued in GA

Legal business name

SUWANEE EYE CENTER

Doing business as

Druid Hills Eyecare

Practice address

2957 N Druid Hills Rd NE
Atlanta, GA 30329-3909

Phone

(404) 471-9990

NPI assigned

Apr 22, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Grigoriy Solomon, O.DNPI 1609831338

Title

President

Phone

(404) 471-9990

Specialties & licenses 1

Addresses

Other names 1

• Druid Hills Eyecare Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 3

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

• Grigoriy Solomon, O.D

  • Corneal and Contact Management Optometrist
  • Decatur, GA
  • NPI 1609831338
  Medicare reassignment Care Compare group NPD Authorized official
• Aysha Siddique, OD

  • Optometrist
  • Atlanta, GA
  • NPI 1154054138
  Medicare reassignment Care Compare group NPD
• Kyung Min Lee

  • Optometrist
  • Decatur, GA
  • NPI 1477238202
  NPD

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1194999003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2383 WATERFORD CV",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300331332",
            "telephone_number": "404-471-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2957 N DRUID HILLS RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303293909",
            "telephone_number": "404-471-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUWANEE EYE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "SOLOMON",
        "authorized_official_first_name": "GRIGORIY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-471-9990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT2033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Druid Hills Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Micah Teresa Sutton
• Penni Ann Sutton, MSW, LISW
• Shandra Sutton
• Tamaurus Jerome Sutton, MD, MPH
• Thomi S Sutton, AA
• Suwanee Physicians, LLC
• Wayne G Suway, DDS
• Peter Emanuel Suwondo, MD, MPH
• Katherine Beth Suzman-Schwartz, PH.D.
• SV Orthotic& Prosthetic Company (Orthotic & Prosthetic Clinics of America)

• Optometrist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.