Active NPI
20/15 Eyecare, LLC
- Optometrist
- Sandy Springs, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1584
- Legal business name
- 20/15 EYECARE, LLC
- Practice address
- 2090 Dunwoody Club Dr
Suite 126
Sandy Springs, GA 30350-5434 - Phone
- (770) 676-7848
- Fax
- (470) 246-4876
- NPI assigned
- Oct 21, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David J Lopp, OD
- Title
- Owner
- Phone
- (770) 676-7848
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1584 | GA | Primary |
Addresses
Primary practice location
2090 Dunwoody Club Dr
Suite 126
Sandy Springs, GA 30350-5434
Mailing address
2090 Dunwoody Club Dr
Suite 126
Sandy Springs, GA 30350-5434
Phone (770) 676-7848
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20151230001011 | GA | Part B Supplier - Clinic/Group Practice | 1052613585 |
Receives reassigned benefits from 5 practitioners Practice locations: Sandy Springs, GA |
National Provider Directory
National Provider DirectoryLocations
2090 Dunwoody Club Dr
Ste 126
Sandy Springs, GA 30350
Phone (770) 676-7848
2090 Dunwoody Club Dr
Sandy Springs, GA 30350
Phone (770) 391-9792
Practitioners & affiliated clinicians
Practitioners 5
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": "1445385600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722384000000",
"number": "1326410085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2090 DUNWOODY CLUB DR",
"address_2": "SUITE 126",
"city": "SANDY SPRINGS",
"state": "GA",
"postal_code": "303505434",
"telephone_number": "770-676-7848",
"fax_number": "470-246-4876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2090 DUNWOODY CLUB DR",
"address_2": "SUITE 126",
"city": "SANDY SPRINGS",
"state": "GA",
"postal_code": "303505434",
"telephone_number": "770-676-7848",
"fax_number": "470-246-4876"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "20/15 EYECARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-21",
"last_updated": "2024-07-31",
"certification_date": "2024-07-31",
"status": "A",
"authorized_official_last_name": "LOPP",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "770-676-7848",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "GA",
"license": "1584",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sandy Springs, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.