Woodstock Optometry, P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT002756 Issued in GA

Legal business name

WOODSTOCK OPTOMETRY, P.C.

Practice address

915 Ridgewalk Pkwy Ste 425
Woodstock, GA 30188-0119

Phone

(770) 592-7413

Fax

(770) 516-6797

NPI assigned

Jun 26, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan David Chao, O.D.NPI 1427497825

Title

Optometrist

Phone

(404) 556-7656

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jonathan David Chao, O.D.

  • Optometrist
  • Woodstock, GA
  • NPI 1427497825
  Medicare reassignment Care Compare group NPD Authorized official
• Rinku Navin Patel, OD

  • Optometrist
  • Bluffton, SC
  • NPI 1073948212

  GA

  Medicare reassignment Care Compare group NPD
• Vishal Sanjay Patel, O.D.

  • Optometrist
  • Canton, GA
  • NPI 1508133588
  Medicare reassignment NPD

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

{
    "created_epoch": "1498435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1417477902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5947 HOLLY SPRINGS PKWY STE 305",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301882449",
            "telephone_number": "404-556-7656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 RIDGEWALK PKWY STE 425",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301880119",
            "telephone_number": "770-592-7413",
            "fax_number": "770-516-6797"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5947 Holly Springs Pkwy Ste 305",
            "address_purpose": "LOCATION",
            "city": "Woodstock",
            "state": "GA",
            "postal_code": "301882449",
            "country_code": "US",
            "telephone_number": "470-995-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WOODSTOCK OPTOMETRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-26",
        "last_updated": "2022-07-21",
        "certification_date": "2022-06-15",
        "status": "A",
        "authorized_official_last_name": "CHAO",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "404-556-7656",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Woodstock Endoscopy Center
• Woodstock Estates
• Woodstock Eye Associates LLC
• Woodstock Eyesite Inc (Pearle Vision)
• Woodstock Family Practice and Urgent Care
• Woodstock Pain Relief LLC
• Woodstock Pain Solutions, PC
• Woodstock Pediatric Medicine
• Woodstock Pharmaceutical & Compounding Center Inc (Woodstock Pharmacy)
• Woodstock Pharmaceutical & Compounding Center Inc

• Optometrist in Woodstock, GA
• Providers in Woodstock, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.