Carrollton Optics LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

CARROLLTON OPTICS LLC

Practice address

1313 S Park St
Carrollton, GA 30117-4433

Phone

(770) 832-1457

NPI assigned

Jun 24, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Fareed Dosani, ODNPI 1366176091

Title

Managing Member

Phone

(770) 655-0989

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

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

• Fareed Dosani

  • Optometrist
  • Lawrenceville, GA
  • NPI 1366176091
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1295579381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 S PARK ST",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301174433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 S PARK ST",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301174433",
            "telephone_number": "770-832-1457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARROLLTON OPTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-23",
        "status": "A",
        "authorized_official_last_name": "DOSANI",
        "authorized_official_first_name": "FAREED",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "770-655-0989",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrollton Eye Clinic, P.C.
• Carrollton Eye Clinic, PC
• Carrollton Family Dentistry
• Carrollton Family Dentistry LLC
• Carrollton Manor Inc
• Carrollton Orthopaedic Clinic PC
• Carrollton Orthopaedic Clinic PC
• Carrollton Orthopaedic Clinic PC
• Carrollton Orthopaedic Surgery Center
• Carrollton Pediatric Clinic, P.C.

• Optometrist in Carrollton, GA
• Providers in Carrollton, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.