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
Organization subpart
No

Authorized official

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

Practitioners 2

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

Medicare participation

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

Medicare enrollment records 1

Medicare enrollment files
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

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

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

Primary practice location

2014 Lawrenceville Suwanee Rd
Suwanee, GA 30024-2625

Mailing address

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 22, 2021.

{
    "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.