Envision Eye Center of Georgia

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT002052 Issued in GA

Legal business name

ENVISION EYE CENTER OF GEORGIA

Practice address

1281 Southlake Cir
Morrow, GA 30260-2352

Phone

(770) 916-2998

NPI assigned

Aug 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Dipti Singh, O.D.

Title

Optometrist

Phone

(770) 916-2998

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186704000000",
    "number": "1376735787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1281 SOUTHLAKE CIR",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302602352",
            "telephone_number": "770-916-2998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1281 SOUTHLAKE CIR",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302602352",
            "telephone_number": "770-916-2998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISION EYE CENTER OF GEORGIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-10",
        "last_updated": "2007-08-10",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "DIPTI",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "770-916-2998",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002052",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002351",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.