NPIMap

Organization Active NPI

Optical Concepts, Inc.

  • Eyewear Supplier
  • Marietta, GA
National Provider Identifier
1295867448
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
1017 Issued in GA
Legal business name
OPTICAL CONCEPTS, INC.
Practice address
2745 Sandy Plains Rd
Suite 132
Marietta, GA 30066-4327
Phone
(770) 977-1222
Fax
(770) 973-2382
NPI assigned
Mar 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Deborah E MillerNPI 1154453306
Title
Office Manager
Phone
(770) 977-1222

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
Eyewear Supplier 332H00000X 1017 GA Primary

Addresses

Primary practice location

2745 Sandy Plains Rd
Suite 132
Marietta, GA 30066-4327

Mailing address

2745 Sandy Plains Rd
Suite 132
Marietta, GA 30066-4327
Phone (770) 977-1222

Other names 1

  • Paradise Optical Doing business as

National Provider Directory

National Provider Directory

Locations

2745 Sandy Plains Rd
Ste 132
Marietta, GA 30066
Phone (770) 977-1222

Practitioners & affiliated clinicians

Practitioners 2

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": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295867448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2745 SANDY PLAINS RD",
            "address_2": "SUITE 132",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300664327",
            "telephone_number": "770-977-1222",
            "fax_number": "770-973-2382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2745 SANDY PLAINS RD",
            "address_2": "SUITE 132",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300664327",
            "telephone_number": "770-977-1222",
            "fax_number": "770-973-2382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICAL CONCEPTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "770-977-1222"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "GA",
            "license": "1017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paradise Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.