Eye Care Centers Management Inc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

0160400001 Issued in GA

Legal business name

EYE CARE CENTERS MANAGEMENT INC

Doing business as

Clayton Eye Center

Practice address

1000 Corporate Center Dr Ste 100
Morrow, GA 30260-4106

Phone

(770) 968-8888

Fax

(770) 960-2473

NPI assigned

Jan 3, 2007

Last updated

Sep 3, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joon Y Kim, M.D.NPI 1942295233

Title

President

Phone

(770) 968-8888

Specialties & licenses 3

Addresses

Other names 1

• Clayton Eye Center Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Eye Care Centers Management Inc

  dba Clayton Eye Center or Spalding Eye Center

  • Ophthalmology Physician
  • Morrow, GA
  • NPI 1699888131

  O20040422000201

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Use 55498954Sa2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Eye Care Centers Management Inc

  dba Clayton Eye Center or Spalding Eye Center

  • Ophthalmology Physician
  • Morrow, GA
  • NPI 1699888131
  NPD tax ID

Locations

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joon Y Kim, M.D.

  • Ophthalmology Physician
  • Morrow, GA
  • NPI 1942295233
  NPD Authorized official
• John Coghlan Allen

  • Ophthalmology Physician
  • Morrow, GA
  • NPI 1679969935
  NPD
• Myong S Lee, O.D.

  • Optometrist
  • Morrow, GA
  • NPI 1578558862
  NPD
• Ayana C Robateau, OD

  • Optometrist
  • Atlanta, GA
  • NPI 1114180155
  NPD
• Daniel I Strait, O.D.

  • Optometrist
  • Morrow, GA
  • NPI 1740274273
  NPD
• Christopher Hahn Lee, OD

  • Optometrist
  • Birmingham, AL
  • NPI 1992215719
  NPD
• Diem My Thi Bui, OD

  • Optometrist
  • Morrow, GA
  • NPI 1801449350
  NPD (past)
• Peter Qiang Chen, O.D.

  • Optometrist
  • Morrow, GA
  • NPI 1740275007
  NPD (past)
• David D'Heurle, M.D.

  • Ophthalmology Physician
  • Atlanta, GA
  • NPI 1912098435
  NPD (past)
• Lauren Michelle Dubiner, MD

  • Ophthalmology Physician
  • Morrow, GA
  • NPI 1043730351
  NPD (past)
• Anbinh Ho, OD

  • Optometrist
  • Morrow, GA
  • NPI 1275299471
  NPD (past)
• Julia Kang, M.D., M.P.H.

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Johns Creek, GA
  • NPI 1609329853

  Ophthalmology

  NPD (past)

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441238400000",
    "number": "1316094576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 CORPORATE CENTER DR STE 100",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302604106",
            "telephone_number": "770-968-8888",
            "fax_number": "770-960-2473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 CORPORATE CENTER DR STE 100",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302604106",
            "telephone_number": "770-968-8888",
            "fax_number": "770-960-2473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE CENTERS MANAGEMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2015-09-03",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JOON",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-968-8888",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "GA",
            "license": "0160400001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clayton Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Eye Care Centers Management Inc (Clayton Eye Center or Spalding Eye Center)
• Marcus Ezell
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• Familycare Medical, LLC
• Adriane Farley

• Eyewear Supplier in Morrow, GA
• Providers in Morrow, GA by specialty
• Eyewear Supplier in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.