Organization Active NPI

Max Family Vision, LLC

  • Optometrist
  • Johns Creek, GA
National Provider Identifier
1417846270
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MAX FAMILY VISION, LLC
Practice address
11030 Medlock Bridge Rd Ste 140
Johns Creek, GA 30097-3503
Phone
(678) 388-2020
NPI assigned
Jun 28, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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

Authorized official

Name
Dr. Ronnie MakNPI 1437712080
Title
Owner
Phone
(404) 939-6008

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

11030 Medlock Bridge Rd Ste 140
Johns Creek, GA 30097-3503

Mailing address

11030 Medlock Bridge Rd Ste 140
Johns Creek, GA 30097-3503

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250825001398 GA Part B Supplier - Clinic/Group Practice 4688174519 Receives reassigned benefits from 1 practitioner
Practice locations: Johns Creek, GA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1751068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782432000000",
    "number": "1417846270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11030 MEDLOCK BRIDGE RD STE 140",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300973503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11030 MEDLOCK BRIDGE RD STE 140",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300973503",
            "telephone_number": "678-388-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAX FAMILY VISION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-28",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A",
        "authorized_official_last_name": "MAK",
        "authorized_official_first_name": "RONNIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-939-6008",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johns Creek, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2026; 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.