Low Vision Skills Rehabilitation and Consulting LLC

Primary specialty

Low Vision Rehabilitation OptometristTaxonomy code 152WL0500X

Legal business name

LOW VISION SKILLS REHABILITATION AND CONSULTING LLC

Practice address

1046 Legacy Walk
Woodstock, GA 30189-5240

Phone

(216) 469-9909

NPI assigned

Oct 17, 2018

Organization subpart

No

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

Authorized official

Name

Susan Rose Garber, OT

Title

Owner

Phone

(470) 407-9909

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1539734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539734400000",
    "number": "1508332586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1046 LEGACY WALK",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301895240",
            "telephone_number": "216-469-9909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1046 LEGACY WALK",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301895240",
            "telephone_number": "216-469-9909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOW VISION SKILLS REHABILITATION AND CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-17",
        "last_updated": "2018-10-17",
        "status": "A",
        "authorized_official_last_name": "GARBER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "470-407-9909",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "152WL0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003130420A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Low Vision Rehabilitation Optometrist in Woodstock, GA
• Providers in Woodstock, GA by specialty
• Low Vision Rehabilitation Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; 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.