Organization Active NPI

Buford Optics LLC

  • Optometrist
  • Buford, GA
National Provider Identifier
1336510767
Registry record updated Oct 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
BUFORD OPTICS LLC
Doing business as
Pearle Vision Buford
Practice address
3264 Buford Dr
100-A
Buford, GA 30519-8764
Phone
(404) 730-2365
NPI assigned
Oct 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2023

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

Authorized official

Name
Fareed Dosani, O.D.NPI 1366176091
Title
Medical Directror
Phone
(770) 655-0989

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary
Eyewear Supplier 332H00000X

Addresses

Primary practice location

3264 Buford Dr
100-A
Buford, GA 30519-8764

Mailing address

3264 Buford Dr
100-A
Buford, GA 30519-8764
Phone (678) 730-2365

Other names 1

  • Pearle Vision Buford Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240712000398 GA Part B Supplier - Clinic/Group Practice 6305381534 Receives reassigned benefits from 1 practitioner
Practice locations: Buford, GA

National Provider Directory

National Provider Directory
Tax ID family
Buckhead Optics2 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.

Locations

3264 Buford Dr
#100A
Buford, GA 30519
Phone (404) 730-2365

Practitioners & affiliated clinicians

Practitioners 1

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": "1444608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697760000000",
    "number": "1336510767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3264 BUFORD DR",
            "address_2": "100-A",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305198764",
            "telephone_number": "678-730-2365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3264 BUFORD DR",
            "address_2": "100-A",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305198764",
            "telephone_number": "404-730-2365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUFORD OPTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-12",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A",
        "authorized_official_last_name": "DOSANI",
        "authorized_official_first_name": "FAREED",
        "authorized_official_title_or_position": "MEDICAL DIRECTROR",
        "authorized_official_telephone_number": "770-655-0989",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearle Vision Buford",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Buford, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; 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.

Verify at the official NPI Registry.