Individual provider Active NPI

Lianne Ashley Chuck, OD

  • Optometrist
  • Atlanta, GA
National Provider Identifier
1225518236
Registry record updated Aug 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT003125 Issued in GA
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

Updated by the provider on Aug 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
OPT003125OtherGALICENSE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210202003171 GA Practitioner - Optometry 5799199758 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Perimeter Vision Care LLCGroup PAC ID 0547685810, 18 clinicians

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

LicenseStateTypeSpecialty
OPT003125GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Perimeter Vision Care, LLC Optometrist CurrentSince Jan 1, 2021 Accepting new patients
Perimeter Vision Care, LLC Optometrist CurrentSince Jan 1, 2021 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.

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

Verify at the official NPI Registry.