Organization Active NPI

Wright Vision Care

  • Optometrist
  • Decatur, GA
National Provider Identifier
1366705527
Registry record updated Jun 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
GA1541 Issued in GA
Legal business name
WRIGHT VISION CARE
Practice address
2070 N Decatur Rd
Decatur, GA 30033-5306
Phone
(404) 636-6680
Fax
(404) 636-1618
NPI assigned
Jun 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2012

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

Authorized official

Name
Dr. Kennetha Delores Wright, O.D.
Title
Owner
Phone
(404) 579-4824

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X GA1541 GA Primary

Addresses

Primary practice location

2070 N Decatur Rd
Decatur, GA 30033-5306

Mailing address

2070 N Decatur Rd
Decatur, GA 30033-5306
Phone (404) 636-6680

National Provider Directory

National Provider Directory

Locations

2070 N Decatur Rd
Decatur, GA 30033
Phone (404) 636-6680

NPI Registry JSON

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340236800000",
    "number": "1366705527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2070 N DECATUR RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300335306",
            "telephone_number": "404-636-6680",
            "fax_number": "404-636-1618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2070 N DECATUR RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300335306",
            "telephone_number": "404-636-6680",
            "fax_number": "404-636-1618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WRIGHT VISION CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-21",
        "last_updated": "2012-06-21",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "KENNETHA",
        "authorized_official_middle_name": "DELORES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-579-4824",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "GA1541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2012; 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.