Legacy Family Eyecare at Flowery Branch LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

LEGACY FAMILY EYECARE AT FLOWERY BRANCH LLC

Practice address

5900 Spout Springs Rd Ste I9
Flowery Branch, GA 30542-6447

Phone

(770) 965-2401

Fax

(770) 965-2546

NPI assigned

Mar 24, 2026

Organization subpart

No

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

Authorized official

Name

Michael Roberts, ODNPI 1578654265

Title

Owner

Phone

(404) 918-6238

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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

• Michael Roberts, OD

  • Optometrist
  • Cumming, GA
  • NPI 1578654265
  NPD (past) Authorized official
• Tiffany Luke, O.D.

  • Optometrist
  • Cumming, GA
  • NPI 1780050526
  NPD (past)
• Phuongthao Minh Truong, O.D.

  • Optometrist
  • Cumming, GA
  • NPI 1548356470
  NPD (past)
• Brian Tribunella, OD

  • Optometrist
  • Wesley Chapel, FL
  • NPI 1285789156
  NPD (past)

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

{
    "created_epoch": "1774310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774310400000",
    "number": "1215875802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 SPOUT SPRINGS RD STE I9",
            "city": "FLOWERY BRANCH",
            "state": "GA",
            "postal_code": "305426447",
            "telephone_number": "770-965-2401",
            "fax_number": "770-965-2546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 SPOUT SPRINGS RD STE I9",
            "city": "FLOWERY BRANCH",
            "state": "GA",
            "postal_code": "305426447",
            "telephone_number": "770-965-2401",
            "fax_number": "770-965-2546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY FAMILY EYECARE AT FLOWERY BRANCH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-24",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-918-6238",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Charles Edward Lee III, DMD
• Jaeyoung Lee
• Jemin Lee, DMD
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• Jennifer Denise Lilly, LPC
• Tracey Eugene Lipscomb, PHARM. D
• Loj Companions, LLC
• Casey Lord, DPT

• Optometrist in Flowery Branch, GA
• Providers in Flowery Branch, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; 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.