NPIMap

Organization Active NPI

Fashion Optique Eyewear, Inc

  • Optician
  • Decatur, GA
National Provider Identifier
1457575680
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
LDO002123 Issued in GA
Legal business name
FASHION OPTIQUE EYEWEAR, INC
Practice address
2851 Candler Rd
Suite 100
Decatur, GA 30034-1412
Phone
(404) 244-8377
Fax
(404) 244-0908
NPI assigned
Apr 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. June Martin Graham, LDO
Title
Optician
Phone
(404) 244-8377

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X LDO002123 GA Primary

Addresses

Primary practice location

2851 Candler Rd
Suite 100
Decatur, GA 30034-1412

Mailing address

2851 Candler Rd
Suite 100
Decatur, GA 30034-1412
Phone (404) 244-8377

National Provider Directory

National Provider Directory

Locations

96 Mitchell St SW
Atlanta, GA 30303

2851 Candler Rd
Ste 100
Decatur, GA 30034
Phone (404) 244-8377

Practitioners & affiliated clinicians

Practitioners 2

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": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457575680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2851 CANDLER RD",
            "address_2": "SUITE 100",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300341412",
            "telephone_number": "404-244-8377",
            "fax_number": "404-244-0908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2851 CANDLER RD",
            "address_2": "SUITE 100",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300341412",
            "telephone_number": "404-244-8377",
            "fax_number": "404-244-0908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FASHION OPTIQUE EYEWEAR, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTIN GRAHAM",
        "authorized_official_first_name": "JUNE",
        "authorized_official_title_or_position": "OPTICIAN",
        "authorized_official_telephone_number": "404-244-8377",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LDO"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "GA",
            "license": "LDO002123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.