Georgia Ophthalmology Assoc PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

017845 Issued in GA

Legal business name

GEORGIA OPHTHALMOLOGY ASSOC PC

Practice address

465 Winn Way
Suite 140
Decatur, GA 30030-1753

Phone

(404) 298-5557

Fax

(404) 297-9480

NPI assigned

Feb 28, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. P Sanford

Title

Administrator

Phone

(404) 298-5557

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Georgia Ophthalmology Assoc PC

  dba Aspects Optical

  • Customized Equipment (DME)
  • Snellville, GA
  • NPI 1033246525
  NPPES parent name
• Georgia Ophthalmology Assoc PC

  dba Aspects Optical

  • Customized Equipment (DME)
  • Decatur, GA
  • NPI 1295862779
  NPPES parent name

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196035200000",
    "number": "1356478077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 WINN WAY",
            "address_2": "SUITE 140",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301753",
            "telephone_number": "404-298-5557",
            "fax_number": "404-297-9480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 WINN WAY",
            "address_2": "SUITE 140",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301753",
            "telephone_number": "404-298-5557",
            "fax_number": "404-297-9480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA OPHTHALMOLOGY ASSOC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-11-26",
        "status": "A",
        "authorized_official_last_name": "SANFORD",
        "authorized_official_first_name": "P",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "404-298-5557",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "017845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE - GROUP",
            "identifier": "GRP2817",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Georgia Mua, LLC
• Georgia Nephrology, LLC
• Georgia Nephrology, LLC (South Dekalb Dialysis Center)
• Georgia Neurosurgery and Orthopedics, LLC
• Georgia Ophthalmology Assoc PC (Aspects Optical)
• Georgia Oral Surgery
• Georgia Pain and Spine Institute, PC
• Georgia Pain and Wellness Center, LLC (Summit Spine & Joint Centers)
• Georgia Professional Medical Services LLC
• Georgia Regional Hospital

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; 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.