Individual provider Active NPI

Christine Marie Laube, O.D.

  • Optometrist
  • Duluth, GA
National Provider Identifier
1346376340
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
001773 Issued in GA
Practice address
2100 Pleasant Hill Rd
Suite 259
Duluth, GA 30096-4701
Phone
(678) 473-1226
Fax
(678) 473-4834
NPI assigned
Feb 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 001773 GA Primary

Addresses

Primary practice location

2100 Pleasant Hill Rd
Suite 259
Duluth, GA 30096-4701

Mailing address

1616 Maple Ridge Dr
Suwanee, GA 30024-2062
Phone (678) 584-0207

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090106000548 GA Practitioner - Optometry 6800959677 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001773GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Clarkson Optometry Georgia Inc Optometrist CurrentSince Feb 25, 2020 Accepting new patients
Joo Eun Choe, Inc. Optometrist Past Accepting new patients
State of Mississippi - University of Mississippi Medical Center PastSince Feb 25, 2020 Accepting new patients

Locations

8400 Holcomb Bridge Rd
Ste 440
Alpharetta, GA 30022
Phone (770) 645-1222

4320 Suwanee Dam Rd
Ste 2100
Suwanee, GA 30024
Phone (770) 614-5877

Interoperability endpoints

  • Direct secure messaging: christinelaube@direct.eyecare-partners.com
  • FHIR API: https://app.meldrx.com/api/fhir/ecp_cecga

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346376340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 MAPLE RIDGE DR",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300242062",
            "telephone_number": "678-584-0207",
            "fax_number": "678-473-4834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 PLEASANT HILL RD",
            "address_2": "SUITE 259",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300964701",
            "telephone_number": "678-473-1226",
            "fax_number": "678-473-4834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUBE",
        "first_name": "CHRISTINE",
        "middle_name": "MARIE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "001773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

Verify at the official NPI Registry.