Organization Active NPI

Arnand Comprehensive Eye Care LLC

  • Primary Care Clinic/Center
  • Morrow, GA
National Provider Identifier
1235704651
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
ARNAND COMPREHENSIVE EYE CARE LLC
Practice address
7325 Jonesboro Rd
Morrow, GA 30260-2950
Phone
(770) 960-8228
NPI assigned
May 26, 2021
Last updated
May 26, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2021

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

Authorized official

Name
Dr. Gabriel Russell, ODNPI 1306323779
Title
Lead Optometrist
Phone
(336) 703-8865

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
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

7325 Jonesboro Rd
Morrow, GA 30260-2950

Mailing address

1415 Highway 85N Ste 310 #643
Fayetteville, GA 30214
Phone (336) 703-8865

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210928000805 GA Part B Supplier - Clinic/Group Practice 1254738610 Receives reassigned benefits from 1 practitioner
Practice locations: Griffin, GA; Morrow, GA

National Provider Directory

National Provider Directory

Locations

1569 N Expressway
Griffin, GA 30223
Phone (770) 228-8517

Practitioners & affiliated clinicians

Practitioners 1

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": "1621987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621987200000",
    "number": "1235704651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 HIGHWAY 85N STE 310 #643",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "30214",
            "telephone_number": "336-703-8865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7325 JONESBORO RD",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302602950",
            "telephone_number": "770-960-8228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARNAND COMPREHENSIVE EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-26",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_title_or_position": "LEAD OPTOMETRIST",
        "authorized_official_telephone_number": "336-703-8865",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrow, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; 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.