Georgia Ophthalmology Assoc PC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

017845 Issued in GA

Legal business name

GEORGIA OPHTHALMOLOGY ASSOC PC

Practice address

465 Winn Way
Suite 140
Decatur, GA 30030-1753

Phone

(404) 298-5557

Fax

(404) 297-9480

NPI assigned

Feb 28, 2007

Organization subpart

Yes

Parent organization

GEORGIA OPHTHALMOLOGY ASSOC PCAs reported in NPPES

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

Authorized official

Name

P Sanford

Title

Administrator

Phone

(404) 298-5557

Specialties & licenses 1

Addresses

Other names 1

• ASPECTS OPTICAL Doing business as

Part of

Georgia Ophthalmology a

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Georgia Ophthalmology Assoc PC

  • Ophthalmology Physician
  • Decatur, GA
  • NPI 1356478077
  NPPES parent name

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194825600000",
    "number": "1295862779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 WINN WAY",
            "address_2": "SUITE 140",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301753",
            "telephone_number": "404-298-5557",
            "fax_number": "404-297-9480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 WINN WAY",
            "address_2": "SUITE 140",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301753",
            "telephone_number": "404-298-5557",
            "fax_number": "404-297-9480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA OPHTHALMOLOGY ASSOC PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GEORGIA OPHTHALMOLOGY ASSOC PC",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-11-12",
        "status": "A",
        "authorized_official_last_name": "SANFORD",
        "authorized_official_first_name": "P",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "404-298-5557"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "GA",
            "license": "017845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ASPECTS OPTICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Customized Equipment (DME) in Decatur, GA
• Providers in Decatur, GA by specialty
• Customized Equipment (DME) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2007; 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.