Organization Active NPI

Eye Totally Care LLC

  • Optometrist
  • East Point, GA
National Provider Identifier
1285069575
Registry record updated Jul 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT002706 Issued in GA
Legal business name
EYE TOTALLY CARE LLC
Practice address
844 Cleveland Ave
East Point, GA 30344-2900
Phone
(404) 460-6163
NPI assigned
Sep 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2020

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

Authorized official

Name
Dr. Nwamaka Ngoddy, O,D.NPI 1427309871
Title
Owner
Phone
(678) 697-8503

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPT002706 GA Primary

Addresses

Primary practice location

844 Cleveland Ave
East Point, GA 30344-2900

Mailing address

PO Box 643
Union City, GA 30291-0643

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131010000924 GA Part B Supplier - Clinic/Group Practice 3870727688 Receives reassigned benefits from 1 practitioner
Practice locations: East Point, GA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1378339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594080000000",
    "number": "1285069575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 643",
            "city": "UNION CITY",
            "state": "GA",
            "postal_code": "302910643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 CLEVELAND AVE",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303442900",
            "telephone_number": "404-460-6163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE TOTALLY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-05",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A",
        "authorized_official_last_name": "NGODDY",
        "authorized_official_first_name": "NWAMAKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-697-8503",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O,D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Point, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; 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.