Eyewatch Eye Care and Associates LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT2345 Issued in GA

Legal business name

EYEWATCH EYE CARE AND ASSOCIATES LLC

Practice address

1550 Mall of Georgia Blvd
Buford, GA 30519-6551

Phone

(678) 288-3024

Fax

(678) 482-1324

NPI assigned

Apr 28, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Adekunle Emmanuel Oluwadare, O.D, M.SNPI 1215925078

Title

Owner

Phone

(610) 800-1125

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 2

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

• Adekunle Emmanuel Oluwadare, OD MSC

  • Corneal and Contact Management Optometrist
  • Dacula, GA
  • NPI 1215925078
  Medicare reassignment Authorized official
• Kathy Kim Nguyen, OD

  • Optometrist
  • Dacula, GA
  • NPI 1508685835
  Medicare reassignment NPD

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

{
    "created_epoch": "1303948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304035200000",
    "number": "1205127925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3592 HUDDLESTONE LN",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305194652",
            "telephone_number": "678-288-3024",
            "fax_number": "678-889-9546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 MALL OF GEORGIA BLVD",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305196551",
            "telephone_number": "678-288-3024",
            "fax_number": "678-482-1324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEWATCH EYE CARE AND ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-28",
        "last_updated": "2011-04-29",
        "status": "A",
        "authorized_official_last_name": "OLUWADARE",
        "authorized_official_first_name": "ADEKUNLE",
        "authorized_official_middle_name": "EMMANUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-800-1125",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D, M.S"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT2345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Joseph Evans, PHARMD
• Evermed Supply Inc
• Exclusive Homecare Agency LLC
• Eye Site of Buford, Inc.
• Eyedoc Investments LLC
• Idiat Oyefunke Falade
• Family First Mental Health Services LLC
• Family First Palliative Care LLC
• Thomas Myron Fancher III
• Hazim A Farisi, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2011; 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.