Active NPI
Christine Marie Laube, O.D.
- Optometrist
- Duluth, GA
National Provider Identifier
1346376340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 001773
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001773 | GA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clarkson Optometry Georgia Inc | Optometrist | Current | Accepting new patients |
| Joo Eun Choe, Inc. | Optometrist | Past | Accepting new patients |
| State of Mississippi - University of Mississippi Medical Center | Past | 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
- christinelaube@direct.eyecare-partners.com
- 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.
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- NPI 1386630705
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.