Active NPI
Intown Optics Inc
- Optometrist
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT001339
- Legal business name
- INTOWN OPTICS INC
- Practice address
- 1197 Peachtree St NE
Ste 520
Atlanta, GA 30361-3502 - Phone
- (404) 874-0874
- Fax
- (404) 872-5216
- NPI assigned
- Apr 8, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Darren S Levine
- Title
- President
- Phone
- (404) 874-0874
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT001339 | GA | Primary |
Addresses
Primary practice location
1197 Peachtree St NE
Ste 520
Atlanta, GA 30361-3502
Mailing address
1197 Peachtree St NE
Ste 520
Atlanta, GA 30361-3502
Phone (404) 874-0874
Other names 1
- Colony Square Eye Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1197 Peachtree St NE
Ste 3120
Atlanta, GA 30361
1197 Peachtree St NE
Ste 520
Atlanta, GA 30361
Phone (404) 874-0874
1197 Peachtree St NE
Ste 400C
Atlanta, GA 30361
Phone (404) 874-0874
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Atlanta, GA
- NPI 1649214214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207612800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1358899200000",
"number": "1205009669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1197 PEACHTREE ST NE",
"address_2": "STE 520",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303613502",
"telephone_number": "404-874-0874",
"fax_number": "404-872-5216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1197 PEACHTREE ST NE",
"address_2": "STE 520",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303613502",
"telephone_number": "404-874-0874",
"fax_number": "404-872-5216"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTOWN OPTICS INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-08",
"last_updated": "2013-01-23",
"status": "A",
"authorized_official_last_name": "LEVINE",
"authorized_official_first_name": "DARREN",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "404-874-0874",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "GA",
"license": "OPT001339",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Colony Square Eye Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; 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.