Mog Vision Center Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MOG VISION CENTER INC

Practice address

844 Ozora Rd
Lawrenceville, GA 30045-6650

Phone

(404) 402-7870

Fax

(770) 872-7463

NPI assigned

Sep 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jimmy Purvis, OD

Title

President

Phone

(678) 643-6116

Specialties & licenses 1

Addresses

Other names 1

• PEARLE VISION Doing business as

Locations

Practitioners 4

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

• Karen Y Castleberry, O.D.

  • Corneal and Contact Management Optometrist
  • Athens, GA
  • NPI 1073601514
  NPD (past)
• Sung Kim, O. D.

  • Optometrist
  • Cumming, GA
  • NPI 1871549733
  NPD (past)
• Robert Park, O. D.

  • Optometrist
  • Buford, GA
  • NPI 1497701353
  NPD (past)
• Phuongthao Minh Truong, O.D.

  • Optometrist
  • Cumming, GA
  • NPI 1548356470
  NPD (past)

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514246400000",
    "number": "1437346335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "844 OZORA RD",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300456650",
            "telephone_number": "404-402-7870",
            "fax_number": "770-872-7463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 OZORA RD",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300456650",
            "telephone_number": "404-402-7870",
            "fax_number": "770-872-7463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOG VISION CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2017-12-26",
        "status": "A",
        "authorized_official_last_name": "PURVIS",
        "authorized_official_first_name": "JIMMY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-643-6116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PEARLE VISION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Haresh Modha, D.D.S.
• Andrea Peyton Moe, PA
• Melanie Michelle Moebes
• Tim Scott Moeckel, D.C.
• Mofazzal Suraiya LLC
• Adrian Mark Mogos, MD
• Heval Mohamed Kelli, M.D.
• Halima Mohamed, NP
• Mustafa Mohammed Salih, MD
• Amber Yvonne Mohn

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2017; 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.