NPIMap

Organization Active NPI

Eyecare Plus LLC

  • Corneal and Contact Management Optometrist
  • Peachtree City, GA
National Provider Identifier
1245429539
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
GA1105 Issued in GA
Legal business name
EYECARE PLUS LLC
Practice address
301B Petrol PT
Peachtree City, GA 30269-1552
Phone
(770) 487-2020
Fax
(770) 487-2020
NPI assigned
Oct 23, 2007
Last updated
Sep 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Authorized official

Name
Dr. David A Johnson, O.D.NPI 1063599959
Title
Optometrist
Phone
(770) 487-2020

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X GA1105 GA Primary
Corneal and Contact Management Optometrist 152WC0802X GA1040 GA

Addresses

Primary practice location

301B Petrol PT
Peachtree City, GA 30269-1552

Mailing address

301B Petrol PT
Peachtree City, GA 30269-1552
Phone (770) 487-2020

Other names 1

  • DAVID A. JOHNSON O.D. Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040423000070 GA Part B Supplier - Clinic/Group Practice 7517953672 Receives reassigned benefits from 7 practitioners
Practice locations: Peachtree City, GA

National Provider Directory

National Provider Directory

Locations

301 Petrol Pt
Peachtree City, GA 30269
Phone (770) 487-2020

301 Petrol Pt
#B
Peachtree Cty, GA 30269
Phone (770) 487-2020

301B Petrol Pt
Peachtree Cty, GA 30269
Phone (770) 487-2020

Practitioners & affiliated clinicians

Practitioners 7

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": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725840000000",
    "number": "1245429539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301B PETROL PT",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691552",
            "telephone_number": "770-487-2020",
            "fax_number": "770-487-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301B PETROL PT",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691552",
            "telephone_number": "770-487-2020",
            "fax_number": "770-487-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYECARE PLUS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "770-487-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "GA",
            "license": "GA1105",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "GA",
            "license": "GA1040",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DAVID A. JOHNSON O.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Peachtree City, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; 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.