Carrollton Eye Clinic, PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

CARROLLTON EYE CLINIC, PC

Practice address

158 Clinic Ave
Carrollton, GA 30117-4414

Phone

(770) 834-1008

Fax

(770) 834-2531

NPI assigned

Aug 23, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Angie Bradley

Title

Administrator

Phone

(770) 834-1008

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Roger M Rossomondo, M.D.

  • Ophthalmology Physician
  • Carrollton, GA
  • NPI 1942224217

  Ophthalmology

  NPD

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260921600000",
    "number": "1346357928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 CLINIC AVE",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301174414",
            "telephone_number": "770-834-1008",
            "fax_number": "770-834-2531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 CLINIC AVE",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301174414",
            "telephone_number": "770-834-1008",
            "fax_number": "770-834-2531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARROLLTON EYE CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2009-12-16",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "770-834-1008",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300022259A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carrollton Crossing of Journey LLC
• Carrollton Cypress LLC
• Carrollton Ear, Nose and Throat, P.C.
• Carrollton Emergency Physicians, PC
• Carrollton Eye Clinic, P.C.
• Carrollton Family Dentistry
• Carrollton Family Dentistry LLC
• Carrollton Manor Inc
• Carrollton Optics LLC
• Carrollton Orthopaedic Clinic PC

• Ophthalmology Physician in Carrollton, GA
• Providers in Carrollton, GA by specialty
• Ophthalmology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2009; 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.