Organization Active NPI

Center for the Visually Impaired

  • Low Vision Rehabilitation Optometrist
  • Atlanta, GA
National Provider Identifier
1497893671
Registry record updated Feb 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Low Vision Rehabilitation OptometristTaxonomy code 152WL0500X
Legal business name
CENTER FOR THE VISUALLY IMPAIRED
Practice address
739 W Peachtree St NW
Atlanta, GA 30308-1137
Phone
(404) 875-9011
Fax
(404) 607-0062
NPI assigned
Feb 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2008

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

Authorized official

Name
Mr. William W. Woolf
Title
Associate Executive Director
Phone
(404) 875-9011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Low Vision Rehabilitation OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152WL0500X Primary

Addresses

Primary practice location

739 W Peachtree St NW
Atlanta, GA 30308-1137

Mailing address

739 W Peachtree St NW
Atlanta, GA 30308-1137
Phone (404) 875-9011

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050516000206 GA Part B Supplier - Clinic/Group Practice 8527009034 Receives reassigned benefits from 15 practitioners
Practice locations: Gainesville, GA; Villa Rica, GA; Union City, GA; Lawrenceville, GA; Flowery Branch, GA; Decatur, GA; Covington, GA; Carrollton, GA…

National Provider Directory

National Provider Directory

Locations

739 W Peachtree St NE
Atlanta, GA 30308
Phone (404) 875-9011

1488 Jesse Jewell Pkwy SE
#10
Gainesville, GA 30501

1488 Jesse Jewell Pkwy SE
Ste 100
Gainesville, GA 30501

1485 Jesse Jewell Pkwy NE
#100
Gainesville, GA 30501

1488 Jesse Jewell Pkwy SE
Ste 20
Gainesville, GA 30501

1488 Jesse Jewell Pkwy SE
Ste 200
Gainesville, GA 30501
Phone (404) 875-9011

1020 Lakes Pkwy
Ste 100
Lawrenceville, GA 30043
Phone (404) 602-4289

7225 Lester Rd
Union City, GA 30291
Phone (404) 602-4289

705 Dallas Hwy
Ste 103
Villa Rica, GA 30180
Phone (404) 875-9011

Practitioners & affiliated clinicians

Practitioners 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204070400000",
    "number": "1497893671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "739 W PEACHTREE ST NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303081137",
            "telephone_number": "404-875-9011",
            "fax_number": "404-607-0062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "739 W PEACHTREE ST NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303081137",
            "telephone_number": "404-875-9011",
            "fax_number": "404-607-0062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR THE VISUALLY IMPAIRED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2008-02-27",
        "status": "A",
        "authorized_official_last_name": "WOOLF",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "ASSOCIATE EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "404-875-9011",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152WL0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; 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.