Organization Active NPI

U&M Family Eyecare

  • Optometrist
  • Suwanee, GA
National Provider Identifier
1497813844
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
U&M FAMILY EYECARE
Practice address
2014 Lawrenceville Suwanee Rd
Suwanee, GA 30024-2625
Phone
(786) 649-2020
Fax
(678) 331-5117
NPI assigned
Dec 5, 2006
Last updated
Apr 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2021

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

Authorized official

Name
Mrs. Stacy Ann Casey
Title
Billing Manager
Phone
(678) 439-1393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

2014 Lawrenceville Suwanee Rd
Suwanee, GA 30024-2625

Mailing address

2964 Silvermere LN
Duluth, GA 30097-4324
Phone (678) 439-1393

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040326001155 GA Part B Supplier - Clinic/Group Practice 4082506753 Receives reassigned benefits from 2 practitioners
Practice locations: Suwanee, GA

National Provider Directory

National Provider Directory

Locations

3250 Sardis Church Rd
Buford, GA 30519
Phone (678) 546-6378

30983 Highway 441 S
Commerce, GA 30529
Phone (706) 335-7818

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619049600000",
    "number": "1497813844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2964 SILVERMERE LN",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300974324",
            "telephone_number": "678-439-1393",
            "fax_number": "706-423-9746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 LAWRENCEVILLE SUWANEE RD",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300242625",
            "telephone_number": "786-649-2020",
            "fax_number": "678-331-5117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "U&M FAMILY EYECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A",
        "authorized_official_last_name": "CASEY",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "678-439-1393",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; 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.