NPIMap

Organization Active NPI

Myeyedr Optometry of Georgia, LLC

Doing business as MyEyeDr.

  • Optometrist
  • Tyrone, GA
National Provider Identifier
1275326571
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MYEYEDR OPTOMETRY OF GEORGIA, LLC
Doing business as
MyEyeDr.
Practice address
179 Handley Rd Ste C
Tyrone, GA 30290-2152
Phone
(770) 486-1020
Fax
(770) 486-1280
NPI assigned
May 28, 2025
Last updated
May 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Authorized official

Name
Sue Downes
Title
Secretary
Phone
(703) 847-8899

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

179 Handley Rd Ste C
Tyrone, GA 30290-2152

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

Other names 1

  • MyEyeDr. Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140428000739 GA Part B Supplier - Clinic/Group Practice 8224261201 Receives reassigned benefits from 207 practitioners
This NPI is an additional NPI on the enrollment

National Provider Directory

National Provider Directory
Tax ID family
Myeyedr Optometry of Georgia LLC44 organizations share this tax ID, including this one

Other organizations with this tax ID 43

Organizations that report the same tax identification number in the National Provider Directory.

View all 43

Locations

2549 Piedmont Rd NE
Atlanta, GA 30324
Phone (404) 467-0717

2549 Piedmont Rd NE
Ste 120
Atlanta, GA 30324
Phone (404) 467-0717

800 Peachtree St NE
Atlanta, GA 30308
Phone (404) 377-3937

123 W Main St
#A
Cartersville, GA 30120
Phone (470) 888-2044

2032 Veterans Blvd
Dublin, GA 31021
Phone (478) 272-3445

2003 Commerce Dr
Kingsland, GA 31548
Phone (912) 882-3040

1044 Avalon Pkwy
McDonough, GA 30253
Phone (770) 898-7078

2485 N Columbia St
Milledgeville, GA 31061
Phone (478) 452-6569

594 S Columbia Ave
Ste 200
Rincon, GA 31326
Phone (912) 826-0935

1570 Old Alabama Rd
Ste 106
Roswell, GA 30076
Phone (770) 557-0039

14045 Abercorn St
Ste 31
Savannah, GA 31419
Phone (912) 925-0700

1000 Peachtree Industrial Blvd
Suwanee, GA 30024
Phone (770) 271-0611

2215 Memorial Dr
Ste 25
Waycross, GA 31501
Phone (912) 285-2021

Practitioners & affiliated clinicians

Practitioners 201

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.

View all 201

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1748390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748390400000",
    "number": "1275326571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "179 HANDLEY RD STE C",
            "city": "TYRONE",
            "state": "GA",
            "postal_code": "302902152",
            "telephone_number": "770-486-1020",
            "fax_number": "770-486-1280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYEYEDR OPTOMETRY OF GEORGIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-28",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A",
        "authorized_official_last_name": "DOWNES",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "703-847-8899"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MyEyeDr.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tyrone, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; 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.