Organization Active NPI

Eye Q Vision Care

  • Optometrist
  • Cumming, GA
National Provider Identifier
1205057437
Registry record updated Mar 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT001232 Issued in GA
Legal business name
EYE Q VISION CARE
Practice address
546 Lakeland Plaza
Cumming, GA 30040-2782
Phone
(678) 208-2393
Fax
(678) 208-0851
NPI assigned
May 2, 2007
Last updated
Mar 9, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2016

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

Authorized official

Name
Dr. Dwight D Boyd, O.D.NPI 1346366135
Title
President
Phone
(678) 208-2393

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 001232 GA
Optometrist 152W00000X 02111 GA
Optometrist 152W00000X OPT001232 GA Primary

Addresses

Primary practice location

546 Lakeland Plaza
Cumming, GA 30040-2782

Mailing address

546 Lakeland Plaza
Cumming, GA 30040-2782
Phone (678) 208-2393

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457481600000",
    "number": "1205057437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "546 LAKELAND PLAZA",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402782",
            "telephone_number": "678-208-2393",
            "fax_number": "678-208-0851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 LAKELAND PLAZA",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402782",
            "telephone_number": "678-208-2393",
            "fax_number": "678-208-0851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE Q VISION CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2016-03-09",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "DWIGHT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-208-2393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "001232",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "02111",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT001232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2016; 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.