Organization Active NPI

Intown Optics Inc

  • Optometrist
  • Atlanta, GA
National Provider Identifier
1205009669
Registry record updated Jan 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT001339 Issued in GA
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

Updated by the provider on Jan 23, 2013

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

Authorized official

Name
Dr. Darren S LevineNPI 1649214214
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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040602000426 GA Part B Supplier - Clinic/Group Practice 5991787244 Receives reassigned benefits from 1 practitioner
Practice locations: Atlanta, GA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.