Active NPI
MC DO Optometry LLC
- Optometrist
- Dallas, GA
National Provider Identifier
1255984423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- MC DO OPTOMETRY LLC
- Practice address
- 3615 Charles Hardy Pkwy Ste 200
Dallas, GA 30157-9472 - Phone
- (770) 767-5548
- Fax
- (770) 505-5549
- NPI assigned
- Jul 17, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael DO
- Title
- President
- Phone
- (770) 767-5548
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
3615 Charles Hardy Pkwy Ste 200
Dallas, GA 30157-9472
Mailing address
702 SW 8TH St
Bentonville, AR 72716-0445
Other practice location 1
137 Willow Ln
McDonough, GA 30253-6574
Phone (470) 483-0411
Other practice location 2
2042 W Spring St
Monroe, GA 30655-3164
Phone (770) 266-5750
Other practice location 3
210 Cobb Pkwy S Ste 100
Marietta, GA 30060-6509
Phone (770) 427-9152
Other practice location 4
4221 Atlanta Hwy Ste 101
Loganville, GA 30052-7316
Phone (470) 479-6400
Other practice location 5
6435 Bells Ferry Rd Ste 110
Woodstock, GA 30189-2317
Phone (770) 928-0574
Other practice location 6
125 Pavilion Pkwy Ste A
Fayetteville, GA 30214-4098
Phone (770) 719-0943
Other practice location 7
1438 Dogwood Dr. SE
Conyers, GA 30013
Phone (678) 607-1318
National Provider Directory
National Provider DirectoryLocations
137 Willow LN
McDonough, GA 30253
Practitioners & affiliated clinicians
Practitioners 10
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Little Rock, AR
- NPI 1134567274
-
- Optometrist
- Hiram, GA
- NPI 1508101510
-
- Optometrist
- Atlanta, GA
- NPI 1457323552
-
- Optometrist
- Marietta, GA
- NPI 1427129600
-
- Optometrist
- Alpharetta, GA
- NPI 1922233808
-
- Optometrist
- East Point, GA
- NPI 1417008327
-
- Optometrist
- Atlanta, GA
- NPI 1871117879
-
- Optometrist
- Atlanta, GA
- NPI 1114180155
-
- Optometrist
- Bronx, NY
- NPI 1750904397
-
- Optometrist
- Grandville, MI
- NPI 1437502044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563321600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1638835200000",
"number": "1255984423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "702 SW 8TH ST",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727160445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3615 CHARLES HARDY PKWY STE 200",
"city": "DALLAS",
"state": "GA",
"postal_code": "301579472",
"telephone_number": "770-767-5548",
"fax_number": "770-505-5549"
}
],
"practiceLocations": [
{
"address_1": "137 Willow Ln",
"address_purpose": "LOCATION",
"city": "McDonough",
"state": "GA",
"postal_code": "302536574",
"country_code": "US",
"telephone_number": "470-483-0411",
"fax_number": "770-954-0622",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2042 W Spring St",
"address_purpose": "LOCATION",
"city": "Monroe",
"state": "GA",
"postal_code": "306553164",
"country_code": "US",
"telephone_number": "770-266-5750",
"fax_number": "770-266-5847",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "210 Cobb Pkwy S Ste 100",
"address_purpose": "LOCATION",
"city": "Marietta",
"state": "GA",
"postal_code": "300606509",
"country_code": "US",
"telephone_number": "770-427-9152",
"fax_number": "770-427-9153",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4221 Atlanta Hwy Ste 101",
"address_purpose": "LOCATION",
"city": "Loganville",
"state": "GA",
"postal_code": "300527316",
"country_code": "US",
"telephone_number": "470-479-6400",
"fax_number": "770-554-1194",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6435 Bells Ferry Rd Ste 110",
"address_purpose": "LOCATION",
"city": "Woodstock",
"state": "GA",
"postal_code": "301892317",
"country_code": "US",
"telephone_number": "770-928-0574",
"fax_number": "770-928-0542",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "125 Pavilion Pkwy Ste A",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "GA",
"postal_code": "302144098",
"country_code": "US",
"telephone_number": "770-719-0943",
"fax_number": "770-719-0944",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1438 Dogwood Dr. SE",
"address_purpose": "LOCATION",
"city": "Conyers",
"state": "GA",
"postal_code": "30013",
"country_code": "US",
"telephone_number": "678-607-1318",
"fax_number": "770-954-0622",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MC DO OPTOMETRY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-17",
"last_updated": "2021-12-07",
"certification_date": "2021-12-07",
"status": "A",
"authorized_official_last_name": "DO",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "770-767-5548"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.