Individual provider Active NPI

Lauren Grainger, OD

  • Optometrist
  • Buford, GA
National Provider Identifier
1356861736
Registry record updated Sep 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3076 Issued in GA
Practice address
3333 Buford Dr Ste 2002
Buford, GA 30519-4935
Phone
(678) 482-4585
NPI assigned
Jun 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3076 GA Primary

Addresses

Primary practice location

3333 Buford Dr Ste 2002
Buford, GA 30519-4935

Mailing address

1651 Mulberry Lake Dr
Dacula, GA 30019-4641

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
I20210430001388 GA Practitioner - Optometry 9335558436 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3076GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Bruce E. Reid and Associates, PC Optometrist CurrentSince Jan 26, 2021 Accepting new patients
Myeyedr Optometry of Georgia, LLC Optometrist CurrentSince May 1, 2021 Accepting new patients
Myeyedr Optometry of Georgia, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Georgia, LLC Optometrist CurrentSince May 1, 2021 Accepting new patients

Locations

3155 Cobb Pkwy SE
Ste 110
Atlanta, GA 30339
Phone (770) 644-0012

4875 Altama Ave
Brunswick, GA 31520
Phone (912) 554-0010

3333 Buford Dr
Ste 2002
Buford, GA 30519
Phone (678) 482-4491

400 Ernest W Barrett Pkwy NW
Ste 617
Kennesaw, GA 30144
Phone (770) 421-1734

9801 Highway 92
Ste 100
Woodstock, GA 30188
Phone (770) 592-7100

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 4

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": "1498435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662163200000",
    "number": "1356861736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1651 MULBERRY LAKE DR",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300194641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 BUFORD DR STE 2002",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305194935",
            "telephone_number": "678-482-4585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAINGER",
        "first_name": "LAUREN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-26",
        "last_updated": "2022-09-03",
        "certification_date": "2022-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "3076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buford, GA

Sources for this page

Verify at the official NPI Registry.