Organization Active NPI

Nanston Vision, LLC

  • Optometrist
  • Snellville, GA
National Provider Identifier
1326473307
Registry record updated Sep 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
NANSTON VISION, LLC
Practice address
2220 Wisteria Dr
Ste. 101
Snellville, GA 30078-4606
Phone
(678) 836-2428
NPI assigned
Sep 9, 2013
Last updated
Sep 9, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2013

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

Authorized official

Name
Rick Bynum
Title
Owner
Phone
(678) 836-2428

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

2220 Wisteria Dr
Ste. 101
Snellville, GA 30078-4606

Mailing address

2220 Wisteria Dr
Ste. 101
Snellville, GA 30078-4606
Phone (678) 836-2428

National Provider Directory

National Provider Directory

Locations

2508 Main St E
Snellville, GA 30078
Phone (678) 836-2428

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1378684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378684800000",
    "number": "1326473307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 WISTERIA DR",
            "address_2": "STE. 101",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300784606",
            "telephone_number": "678-836-2428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 WISTERIA DR",
            "address_2": "STE. 101",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300784606",
            "telephone_number": "678-836-2428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANSTON VISION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-09",
        "last_updated": "2013-09-09",
        "status": "A",
        "authorized_official_last_name": "BYNUM",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-836-2428"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snellville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2013; 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.