Modern Eyecare of Medlock

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT002001 Issued in GA

Legal business name

MODERN EYECARE OF MEDLOCK

Practice address

9700 Medlock Bridge Rd
Suite 182
Duluth, GA 30097-4411

Phone

(678) 205-1599

Fax

(678) 205-1632

NPI assigned

Dec 25, 2006

Organization subpart

No

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

Authorized official

Name

Grace K WooNPI 1336204023

Title

Managing Memeber

Phone

(678) 205-1599

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Grace Ka-Yun Woo, O.D.

  • Optometrist
  • New York, NY
  • NPI 1336204023
  NPD (past) Authorized official

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

{
    "created_epoch": "1167004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1487719084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 BRIGHTMORE WAY",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300056773",
            "telephone_number": "678-205-1599",
            "fax_number": "678-205-1632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 MEDLOCK BRIDGE RD",
            "address_2": "SUITE 182",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300974411",
            "telephone_number": "678-205-1599",
            "fax_number": "678-205-1632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN EYECARE OF MEDLOCK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-25",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "WOO",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MANAGING MEMEBER",
        "authorized_official_telephone_number": "678-205-1599"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002001",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "OPT002001",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Mitrofan, DMD
• Nelly Mizrahi, M.D.
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• Mobile Joints, LLC
• Model & Root Speech Co., LLC
• Modern Family Medicine, Inc
• Mofazzal Suraiya LLC
• Alejandra Mojica
• Mark D Moncino, MD
• William Moneit

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

• 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.