Organization Active NPI

Glance Eye Care LLC

  • Optometrist
  • Carrollton, GA
National Provider Identifier
1336911668
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
GLANCE EYE CARE LLC
Practice address
1109 S Park St Ste 201
Carrollton, GA 30117-4461
Phone
(678) 890-3323
NPI assigned
Oct 30, 2023
Last updated
Oct 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Authorized official

Name
Alanna Edwards, ODNPI 1538325741
Title
Owner
Phone
(678) 890-3323

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)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

1109 S Park St Ste 201
Carrollton, GA 30117-4461

Mailing address

PO Box 74127
Newnan, GA 30271-4127

National Provider Directory

National Provider Directory

Locations

1109 S Park St
Ste 201
Carrollton, GA 30117
Phone (678) 890-3323

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": "1698624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698624000000",
    "number": "1336911668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 74127",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302714127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 S PARK ST STE 201",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301174461",
            "telephone_number": "678-890-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLANCE EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-30",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "ALANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-890-3323",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.