Active NPI
Loan Vo Unsworth, O.D.
- Optometrist
- Suwanee, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2320
- Practice address
- 3130 Mathis Airport Pkwy Ste 308
Suwanee, GA 30024-9132 - Phone
- (770) 574-6090
- Fax
- (770) 574-6099
- NPI assigned
- Jun 3, 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 | 2320 | GA | Primary |
Addresses
Primary practice location
3130 Mathis Airport Pkwy Ste 308
Suwanee, GA 30024-9132
Mailing address
1788 Scouts Walk
Dacula, GA 30019-7817
Phone (770) 380-3501
Other practice location 1
3333 Buford Dr Ste 2002
Buford, GA 30519-4935
Phone (678) 482-4585
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130520000448 | GA | Practitioner - Optometry | 5799922365 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University Alabama Birmingham - School of Optometry, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3130 Mathis Airport Pkwy
Suite 308
Suwanee, GA 30024-9132
Phone (770) 574-6090
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2320 | GA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Bruce E. Reid and Associates, PC | Optometrist | Current | Accepting new patients |
| Windermere Optique LLC | Optometrist | Current | Accepting new patients |
Locations
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
3130 Mathis Airport Pkwy
Ste 308
Suwanee, GA 30024
Phone (770) 574-6090
Organizations & group practices 2
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": "1180828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584316800000",
"number": "1386846293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1788 SCOUTS WALK",
"city": "DACULA",
"state": "GA",
"postal_code": "300197817",
"telephone_number": "770-380-3501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3130 MATHIS AIRPORT PKWY STE 308",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300249132",
"telephone_number": "770-574-6090",
"fax_number": "770-574-6099"
}
],
"practiceLocations": [
{
"address_1": "3333 Buford Dr Ste 2002",
"address_purpose": "LOCATION",
"city": "Buford",
"state": "GA",
"postal_code": "305194935",
"country_code": "US",
"telephone_number": "678-482-4585",
"fax_number": "678-482-4593",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "UNSWORTH",
"first_name": "LOAN",
"middle_name": "VO",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-03",
"last_updated": "2020-03-16",
"certification_date": "2020-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "2320",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Suwanee, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.