NPIMap

Organization Active NPI

Order Medicaid Glasses Online

  • Optician
  • Dacula, GA
National Provider Identifier
1285358770
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
ORDER MEDICAID GLASSES ONLINE
Practice address
1890 Browning Bend CT
Dacula, GA 30019-7771
Phone
(678) 663-3015
NPI assigned
Sep 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2022

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

Authorized official

Name
Anna McCaskillNPI 1356999130
Title
Provider
Phone
(678) 663-3015

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
OpticianGroup: 193200000X MULTI-SPECIALTY GROUP 156FX1800X Primary

Addresses

Primary practice location

1890 Browning Bend CT
Dacula, GA 30019-7771

Mailing address

470 Dacula Rd Unit 879
Dacula, GA 30019-0108
Phone (678) 663-3015

National Provider Directory

National Provider Directory

Locations

470 Dacula Rd
Unit 879
Dacula, GA 30019

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": "1664323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665100800000",
    "number": "1285358770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 DACULA RD UNIT 879",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300190108",
            "telephone_number": "678-663-3015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 BROWNING BEND CT",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300197771",
            "telephone_number": "678-663-3015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORDER MEDICAID GLASSES ONLINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-28",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A",
        "authorized_official_last_name": "MCCASKILL",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "678-663-3015"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dacula, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.