Eyeworks of BH, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EYEWORKS OF BH, LLC

Doing business as

Eyeworks of Brookhaven

Practice address

4060 Peachtree Rd NE Ste K
Atlanta, GA 30319-3020

Phone

(404) 377-3937

Fax

(404) 377-3936

NPI assigned

Mar 5, 2014

Last updated

Mar 5, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Susan Roman

Title

Owner

Phone

(404) 377-3937

Specialties & licenses 1

Addresses

Other names 1

• Eyeworks of Brookhaven Doing business as

Locations

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

{
    "created_epoch": "1393977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393977600000",
    "number": "1508282278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4060 PEACHTREE RD NE STE K",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303193020",
            "telephone_number": "404-377-3937",
            "fax_number": "404-377-3936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4060 PEACHTREE RD NE STE K",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303193020",
            "telephone_number": "404-377-3937",
            "fax_number": "404-377-3936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEWORKS OF BH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-05",
        "last_updated": "2014-03-05",
        "status": "A",
        "authorized_official_last_name": "ROMAN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-377-3937",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyeworks of Brookhaven",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.