Organization Active NPI

RCS Vision, LLC

  • Optometrist
  • Atlanta, GA
National Provider Identifier
1427388354
Registry record updated Apr 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT002529 Issued in GA
Legal business name
RCS VISION, LLC
Practice address
2275 Marietta Blvd NW Ste 270-314
Atlanta, GA 30318-2004
Phone
(678) 438-5612
Fax
(678) 623-3633
NPI assigned
Dec 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2022

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

Authorized official

Name
Richard Charles Schlievert, ODNPI 1467687012
Title
Administrator
Phone
(678) 438-5612

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 OPT002529 GA Primary

Addresses

Primary practice location

2275 Marietta Blvd NW Ste 270-314
Atlanta, GA 30318-2004

Mailing address

2275 Marietta Blvd NW Ste 270-314
Atlanta, GA 30318-2004
Phone (678) 438-5612

Other identifiers 1

IdentifierTypeStateIssuer
611719687AMedicaidGA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100608000163 GA Part B Supplier - Clinic/Group Practice 7517097280 Receives reassigned benefits from 1 practitioner
Practice locations: Atlanta, GA

National Provider Directory

National Provider Directory

Locations

2275 Marietta Blvd NW
Ste 270314
Atlanta, GA 30318
Phone (678) 438-5612

4480 S Cobb Dr SE
Ste H205
Smyrna, GA 30080
Phone (678) 438-5612

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": "1261699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649376000000",
    "number": "1427388354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2275 MARIETTA BLVD NW STE 270-314",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303182004",
            "telephone_number": "678-438-5612",
            "fax_number": "678-623-3633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2275 MARIETTA BLVD NW STE 270-314",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303182004",
            "telephone_number": "678-438-5612",
            "fax_number": "678-623-3633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RCS VISION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-25",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A",
        "authorized_official_last_name": "SCHLIEVERT",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "678-438-5612",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "611719687A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.