Individual provider Active NPI

Joo E Choe, OD

  • Optometrist
  • Duluth, GA
National Provider Identifier
1417974114
Registry record updated Mar 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT0002532 Issued in GA
Practice address
2100 Pleasant Hill Rd
Suite 259
Duluth, GA 30096-4701
Phone
(843) 610-2020
NPI assigned
Jul 17, 2006
Last updated
Mar 29, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1355 SC
Optometrist 152W00000X 1748 NC
Optometrist 152W00000X OPT0002532 GA Primary

Addresses

Primary practice location

2100 Pleasant Hill Rd
Suite 259
Duluth, GA 30096-4701

Mailing address

8725 Merion Dr
Duluth, GA 30097-6661
Phone (843) 610-2020

Other identifiers 1

IdentifierTypeStateIssuer
D13557MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100910000721 GA Practitioner - Optometry 5496766362 Reassigns benefits to 2 organizations
I20211102000155 NC Practitioner - Optometry 5496766362 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6350 Peachtree Dunwoody Rd
Atlanta, GA 30328-4568
Phone (770) 688-1901

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1748NCMDPsychologist
OPT0002532GAMDOptometrist
1355SCMDAthletic Trainer
2532GAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of North Carolina, PLLC Optometrist Current Accepting new patients
Joo Eun Choe Inc Optometrist Current Accepting new patients
Eyecarecenter, O.D., P.a. Optometrist CurrentSince Nov 1, 2021 Accepting new patients
Myeyedr Optometry of North Carolina, PLLC Optometrist CurrentSince Sep 21, 2021 Accepting new patients
Eyecarecenter OD PA Optometrist Current Accepting new patients
Quality Eyecare Optometrist CurrentSince Aug 21, 2017 Accepting new patients
Myeyedr Optometry of North Carolina, PLLC Optometrist CurrentSince Sep 21, 2021 Accepting new patients
Eyecarecenter OD PA Optometrist CurrentSince Nov 1, 2021 Accepting new patients

Locations

5900 Sugarloaf Pkwy
Ste 513
Lawrenceville, GA 30043
Phone (678) 847-5331

1960 Randolph Rd
Charlotte, NC 28207
Phone (704) 372-5332

411A Pisgah Church Rd
Greensboro, NC 27455
Phone (336) 790-3502

3001 Martin Luther King Jr Blvd
New Bern, NC 28562
Phone (252) 633-2901

819 Tiffany Blvd
Rocky Mount, NC 27804
Phone (252) 972-2020

2795 North Rd
Orangeburg, SC 29118
Phone (803) 531-2746

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269820800000",
    "number": "1417974114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8725 MERION DR",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300976661",
            "telephone_number": "843-610-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 PLEASANT HILL RD",
            "address_2": "SUITE 259",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300964701",
            "telephone_number": "843-610-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOE",
        "first_name": "JOO",
        "middle_name": "E",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2010-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1355",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1748",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT0002532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D13557",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

Verify at the official NPI Registry.