NPIMap

Organization Active NPI

Lezaj Eye Care, P.C.

  • Optometrist
  • Fayetteville, GA
National Provider Identifier
1487220554
Registry record updated May 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
LEZAJ EYE CARE, P.C.
Practice address
160 Pavilion Pkwy
Fayetteville, GA 30214-4056
Phone
(770) 716-8432
Fax
(770) 716-5386
NPI assigned
May 31, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2021

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

Authorized official

Name
Dr. Thomas A Lezaj, ODNPI 1306807649
Title
Owner
Phone
(770) 716-8432

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 Primary

Addresses

Primary practice location

160 Pavilion Pkwy
Fayetteville, GA 30214-4056

Mailing address

160 Pavilion Pkwy
Fayetteville, GA 30214-4056
Phone (770) 716-8432

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://accuexam.vuecaremedia.com/portal/#emailapp Direct

National Provider Directory

National Provider Directory

Locations

160 Pavilion Pkwy
Fayetteville, GA 30214
Phone (770) 716-8432

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": "1622419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622419200000",
    "number": "1487220554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 PAVILION PKWY",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302144056",
            "telephone_number": "770-716-8432",
            "fax_number": "770-716-5386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 PAVILION PKWY",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302144056",
            "telephone_number": "770-716-8432",
            "fax_number": "770-716-5386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEZAJ EYE CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-31",
        "last_updated": "2021-05-31",
        "certification_date": "2021-05-31",
        "status": "A",
        "authorized_official_last_name": "LEZAJ",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-716-8432",
        "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": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://accuexam.vuecaremedia.com/portal/#emailapp",
            "affiliation": "N",
            "endpointDescription": "email app",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "160 Pavilion Pkwy",
            "city": "Fayetteville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302144056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2021; 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.