Vision Care & Therapy Center, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT2678 Issued in GA

Legal business name

VISION CARE & THERAPY CENTER, INC

Practice address

12030 Etris Rd
B-100
Roswell, GA 30075-1410

Phone

(675) 256-3990

NPI assigned

Nov 17, 2012

Organization subpart

No

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

Authorized official

Name

Janna Iyer, ODNPI 1952673527

Title

Optometrist/President

Phone

(770) 616-1991

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 2

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

• Janna Iyer, OD

  • Vision Therapy Optometrist
  • Roswell, GA
  • NPI 1952673527

  GA, Optometrist

  Medicare reassignment NPD Authorized official
• Alayna Larsen, OD

  • Vision Therapy Optometrist
  • Roswell, GA
  • NPI 1780163691

  GA, Optometrist

  Medicare reassignment NPD

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

{
    "created_epoch": "1353110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353888000000",
    "number": "1508100348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8343 ROSWELL RD",
            "address_2": "141",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303502810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12030 ETRIS RD",
            "address_2": "B-100",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300751410",
            "telephone_number": "675-256-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION CARE & THERAPY CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-17",
        "last_updated": "2012-11-26",
        "status": "A",
        "authorized_official_last_name": "IYER",
        "authorized_official_first_name": "JANNA",
        "authorized_official_title_or_position": "OPTOMETRIST/PRESIDENT",
        "authorized_official_telephone_number": "770-616-1991",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT2678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Village Podiatry Group, LLC.
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• Villar Dentistry Roswell LLC
• Jose R Villongco, M.D.
• Vine Medical Associates, PC
• Visualeyes, Inc
• Vitalita Chiropractic & Wellness Center, LLC
• Vitality Sports Chiropractic
• Barry L. Vlass, D.M.D.
• VMP, LLC

• All providers in Roswell, GA
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; 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.