Bulanseo Optical,Inc

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

OPT002546 Issued in GA

Legal business name

BULANSEO OPTICAL,INC

Practice address

6035 Peachtree Rd
Suite T10
Doraville, GA 30360-3230

Phone

(770) 559-4004

Fax

(770) 559-4228

NPI assigned

Jun 14, 2007

Organization subpart

No

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

Authorized official

Name

Ami Jeniel Parmar, O.D

Title

Authorized Official

Phone

(770) 559-4004

Specialties & licenses 1

Addresses

Other names 1

• Paris Optical Doing business as

Locations

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268092800000",
    "number": "1306040944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6035 PEACHTREE RD",
            "address_2": "SUITE T10",
            "city": "DORAVILLE",
            "state": "GA",
            "postal_code": "303603230",
            "telephone_number": "770-559-4004",
            "fax_number": "770-559-4228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6035 PEACHTREE RD",
            "address_2": "SUITE T10",
            "city": "DORAVILLE",
            "state": "GA",
            "postal_code": "303603230",
            "telephone_number": "770-559-4004",
            "fax_number": "770-559-4228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BULANSEO OPTICAL,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-14",
        "last_updated": "2010-03-09",
        "status": "A",
        "authorized_official_last_name": "PARMAR",
        "authorized_official_first_name": "AMI",
        "authorized_official_middle_name": "JENIEL",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "770-559-4004",
        "authorized_official_credential": "O.D"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "GA",
            "license": "OPT002546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paris Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Health Maintenance Organization in Doraville, GA
• Providers in Doraville, GA by specialty
• Health Maintenance Organization in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; 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.