Organization Active NPI

Quality Eyecare

  • Optometrist
  • Lawrenceville, GA
National Provider Identifier
1467735829
Registry record updated Jan 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT001445 Issued in GA
Legal business name
QUALITY EYECARE
Practice address
5900 Sugarloaf Pkwy
Suite 513
Lawrenceville, GA 30043-7857
Phone
(678) 847-5331
Fax
(678) 847-5333
NPI assigned
Sep 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2013

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

Authorized official

Name
Dr. Carl Johnsey Jr., O.D.NPI 1235271800
Title
President
Phone
(678) 847-5331

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 OPT001445 GA Primary

Addresses

Primary practice location

5900 Sugarloaf Pkwy
Suite 513
Lawrenceville, GA 30043-7857

Mailing address

5900 Sugarloaf Pkwy
Suite 513
Lawrenceville, GA 30043-7857
Phone (678) 847-5331

Other identifiers 1

IdentifierTypeStateIssuer
003129516AMedicaidGA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111213000840 GA Part B Supplier - Clinic/Group Practice 1052586427 Receives reassigned benefits from 2 practitioners
Practice locations: Lawrenceville, GA

National Provider Directory

National Provider Directory

Locations

5900 Sugarloaf Pkwy
Ste 513
Lawrenceville, GA 30043
Phone (678) 847-5331

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": "1316649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358985600000",
    "number": "1467735829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 SUGARLOAF PKWY",
            "address_2": "SUITE 513",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300437857",
            "telephone_number": "678-847-5331",
            "fax_number": "678-847-5333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 SUGARLOAF PKWY",
            "address_2": "SUITE 513",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300437857",
            "telephone_number": "678-847-5331",
            "fax_number": "678-847-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY EYECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-22",
        "last_updated": "2013-01-24",
        "status": "A",
        "authorized_official_last_name": "JOHNSEY",
        "authorized_official_first_name": "CARL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-847-5331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT001445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003129516A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jan 24, 2013; 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.