Health Care for Life Ga, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

HEALTH CARE FOR LIFE GA, LLC

Practice address

5607 Glenridge Dr NE
Ste 430
Atlanta, GA 30342-7200

Phone

(404) 497-4119

Fax

(404) 497-4114

NPI assigned

Jun 13, 2012

Organization subpart

Yes

Parent organization

HEALTH CARE FOR LIFE, LLCAs reported in NPPES

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

Authorized official

Name

Dr. Stuart M Greenberg, O.D.NPI 1780766824

Title

Partner/Member

Phone

(256) 332-5440

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Stuart M Greenberg, O.D.

  • Optometrist
  • Russellville, AL
  • NPI 1780766824
  NPD (past) Authorized official
• Candace Hines Kotei, O.D.

  • Optometrist
  • Smyrna, GA
  • NPI 1639511223
  NPD

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

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339545600000",
    "number": "1427310507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5607 GLENRIDGE DR NE",
            "address_2": "STE 430",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303427200",
            "telephone_number": "404-497-4119",
            "fax_number": "404-497-4114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5607 GLENRIDGE DR NE",
            "address_2": "STE 430",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303427200",
            "telephone_number": "404-497-4119",
            "fax_number": "404-497-4114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH CARE FOR LIFE GA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTH CARE FOR LIFE, LLC",
        "enumeration_date": "2012-06-13",
        "last_updated": "2012-06-13",
        "status": "A",
        "authorized_official_last_name": "GREENBERG",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PARTNER/MEMBER",
        "authorized_official_telephone_number": "256-332-5440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2012; 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.