Active NPI
Lianne Ashley Chuck, OD
- Optometrist
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT003125
- Practice address
- 2860 Cumberland Mall SE Ste 1440
Atlanta, GA 30339-3963 - Phone
- (770) 434-4552
- NPI assigned
- Aug 19, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT003125 | GA | Primary |
Addresses
Primary practice location
2860 Cumberland Mall SE Ste 1440
Atlanta, GA 30339-3963
Mailing address
230 Alday LN
Marietta, GA 30060-1174
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OPT003125 | Other | GA | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4400 Ashford Dunwoody Rd NE
Suite 1280
Atlanta, GA 30346-1546
Phone (770) 727-0772
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT003125 | GA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Perimeter Vision Care, LLC | Optometrist | Current | Accepting new patients |
| Perimeter Vision Care, LLC | Optometrist | Current | Accepting new patients |
Locations
1154 N Point Cir
Alpharetta, GA 30022
Phone (770) 667-8060
200 Ashford Ctr N
Ste 305
Atlanta, GA 30338
2860 Cumberland Mall SE
Ste 1440
Atlanta, GA 30339
Phone (770) 434-4552
4800 Briarcliff Rd NE
#1173
Atlanta, GA 30345
Phone (770) 493-9171
4400 Ashford Dunwoody Rd NE
Ste 1280
Atlanta, GA 30346
Phone (770) 395-6717
3393 Peachtree Rd NE
Ste B128
Atlanta, GA 30326
Phone (404) 233-9296
400 Ernest W Barrett Pkwy NW
Ste 617
Kennesaw, GA 30144
Phone (770) 421-1734
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Atlanta, GA
- NPI 1215611546
-
- Optometrist
- Atlanta, GA
- NPI 1811527971
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534636800000",
"number": "1225518236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 ALDAY LN",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300601174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2860 CUMBERLAND MALL SE STE 1440",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303393963",
"telephone_number": "770-434-4552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUCK",
"first_name": "LIANNE",
"middle_name": "ASHLEY",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-19",
"last_updated": "2018-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "OPT003125",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "OPT003125",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
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 Aug 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.