Organization Active NPI

T.J. Vision

  • Optometrist
  • Doraville, GA
National Provider Identifier
1295036556
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
INV-1-10-13161 Issued in GA
Legal business name
T.J. VISION
Practice address
5150 Buford Hwy NE Ste D120
Doraville, GA 30340-1170
Phone
(770) 234-9249
Fax
(770) 234-0306
NPI assigned
Nov 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Authorized official

Name
Kemeng Wang, ODNPI 1013424936
Title
Optometrist
Phone
(770) 234-9249

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 INV-1-10-13161 GA Primary

Addresses

Primary practice location

5150 Buford Hwy NE Ste D120
Doraville, GA 30340-1170

Mailing address

5150 Buford Hwy NE Ste D120
Doraville, GA 30340-1170
Phone (770) 234-9249

Other names 1

  • Eye Best Optical Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110314000555 GA Part B Supplier - Clinic/Group Practice 2567644412 Receives reassigned benefits from 1 practitioner
Practice locations: Doraville, GA

National Provider Directory

National Provider Directory

Locations

5150 Buford Hwy NE
Ste A100A
Doraville, GA 30340

5150 Buford Hwy NE
Ste D120
Doraville, GA 30340
Phone (770) 234-9249

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": "1288742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742169600000",
    "number": "1295036556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 BUFORD HWY NE STE D120",
            "city": "DORAVILLE",
            "state": "GA",
            "postal_code": "303401170",
            "telephone_number": "770-234-9249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 BUFORD HWY NE STE D120",
            "city": "DORAVILLE",
            "state": "GA",
            "postal_code": "303401170",
            "telephone_number": "770-234-9249",
            "fax_number": "770-234-0306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T.J. VISION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-03",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "KEMENG",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "770-234-9249",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "INV-1-10-13161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Best Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Doraville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.