Active NPI
Joseph Rouw, OD, FAAO, FCOVD
- Optometrist
- Dacula, GA
National Provider Identifier
1497753701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2353
- Practice address
- 2055 Hamilton Creek Pkwy Ste 120
Dacula, GA 30019-7205 - Phone
- (770) 904-0979
- Fax
- (470) 655-7914
- NPI assigned
- Jul 11, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1441 | SC | |
| Optometrist | 152W00000X | 2581 | TN | |
| Optometrist | 152W00000X | 2353 | GA | Primary |
Addresses
Primary practice location
2055 Hamilton Creek Pkwy Ste 120
Dacula, GA 30019-7205
Mailing address
3518 Habersham Club Dr
Cumming, GA 30041-8003
Phone (678) 448-2854
Other practice location 1
2920 Ronald Reagan Blvd Ste 104
Cumming, GA 30041-7578
Phone (770) 904-0979
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2353 | GA | MD | Optometrist |
| 1441 | SC | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Vision Development Center of Forsyth | Past | Accepting new patients | |
| Hamilton Mill Eyecare Inc. | Optometrist | Past | Accepting new patients |
| Pediatric Vision Development Center of Gwinnett | Past | Accepting new patients | |
| Myeyedr Optometry of Georgia, LLC | Optometrist | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Vision Therapy Optometrist
- Cumming, GA
- NPI 1659789923
-
- Vision Therapy Optometrist
- Dacula, GA
- NPI 1669880936
-
- Optometrist
- Buford, GA
- NPI 1548354392
-
- Optometrist
- Buford, GA
- NPI 1427999838
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745452800000",
"number": "1497753701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3518 HABERSHAM CLUB DR",
"city": "CUMMING",
"state": "GA",
"postal_code": "300418003",
"telephone_number": "678-448-2854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2055 HAMILTON CREEK PKWY STE 120",
"city": "DACULA",
"state": "GA",
"postal_code": "300197205",
"telephone_number": "770-904-0979",
"fax_number": "470-655-7914"
}
],
"practiceLocations": [
{
"address_1": "2920 Ronald Reagan Blvd Ste 104",
"address_purpose": "LOCATION",
"city": "Cumming",
"state": "GA",
"postal_code": "300417578",
"country_code": "US",
"telephone_number": "770-904-0979",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROUW",
"first_name": "JOSEPH",
"credential": "OD, FAAO, FCOVD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-11",
"last_updated": "2025-04-24",
"certification_date": "2025-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "SC",
"license": "1441",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TN",
"license": "2581",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "2353",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dacula, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.