NPIMap

Organization Active NPI

Eecarman OD PC

Doing business as Classic Vision Care

  • Optometrist
  • Kennesaw, GA
National Provider Identifier
1205155116
Registry record updated Jul 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT001008 Issued in GA
Legal business name
EECARMAN OD PC
Doing business as
Classic Vision Care
Practice address
1615 Ridenour Blvd NW
Suite 201
Kennesaw, GA 30152-4463
Phone
(770) 499-2020
Fax
(770) 426-8157
NPI assigned
May 18, 2010
Last updated
Jul 14, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2014

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

Authorized official

Name
Dr. E Edward Carman, O.D.NPI 1144345398
Title
Owner
Phone
(770) 499-2020

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
Optometrist 152W00000X OPT001008 GA Primary

Addresses

Primary practice location

1615 Ridenour Blvd NW
Suite 201
Kennesaw, GA 30152-4463

Mailing address

1615 Ridenour Blvd NW
Suite 201
Kennesaw, GA 30152-4463
Phone (770) 499-2020

Other names 1

  • Classic Vision Care Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

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": "1274140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405296000000",
    "number": "1205155116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 RIDENOUR BLVD NW",
            "address_2": "SUITE 201",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301524463",
            "telephone_number": "770-499-2020",
            "fax_number": "770-426-8157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 RIDENOUR BLVD NW",
            "address_2": "SUITE 201",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301524463",
            "telephone_number": "770-499-2020",
            "fax_number": "770-426-8157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EECARMAN OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-18",
        "last_updated": "2014-07-14",
        "status": "A",
        "authorized_official_last_name": "CARMAN",
        "authorized_official_first_name": "E",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-499-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT001008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Classic Vision Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2014; 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.