Organization Active NPI

Ekhos Optical Inc

Doing business as Brookwood Eyecare

  • Optician
  • Lawrenceville, GA
National Provider Identifier
1437279569
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
EKHOS OPTICAL INC
Doing business as
Brookwood Eyecare
Practice address
2948 Five Forks Trickum Rd
Suite C
Lawrenceville, GA 30044-5872
Phone
(770) 736-7774
NPI assigned
Mar 30, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Joseph Imafidon, OPT
Title
Office Manager
Phone
(770) 736-7774

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X GA0832 GA
Optician 156FX1800X Primary

Addresses

Primary practice location

2948 Five Forks Trickum Rd
Suite C
Lawrenceville, GA 30044-5872

Mailing address

2948 Five Forks Trickum Rd
Suite C
Lawrenceville, GA 30044-5872
Phone (770) 736-7774

Other names 1

  • Brookwood Eyecare Doing business as

National Provider Directory

National Provider Directory

Locations

2948 Five Forks Trickum Rd
Ste C
Lawrenceville, GA 30044
Phone (770) 736-7774

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1437279569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2948 FIVE FORKS TRICKUM RD",
            "address_2": "SUITE C",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300445872",
            "telephone_number": "770-736-7774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2948 FIVE FORKS TRICKUM RD",
            "address_2": "SUITE C",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300445872",
            "telephone_number": "770-736-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EKHOS OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "IMAFIDON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "770-736-7774",
        "authorized_official_credential": "OPT"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "GA0832",
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookwood Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.