Active NPI
Emily Rose Lasalle, O.D.
- Optometrist
- Canton, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 003225
- Practice address
- 1810 Cumming Hwy SPC F-1010
Canton, GA 30115-2986 - Phone
- (770) 704-9666
- Fax
- (614) 856-0534
- NPI assigned
- Jul 24, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 5621 | OH | |
| Optometrist | 152W00000X | 003225 | GA | Primary |
Addresses
Primary practice location
1810 Cumming Hwy SPC F-1010
Canton, GA 30115-2986
Mailing address
732 Crescent Cir
Canton, GA 30115-4771
Phone (614) 638-3140
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, GA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Ohio State University - College of Optometry, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
36 Maple St
Kearny, NJ 07032-1927
8990 N Davis Hwy
Pensacola, FL 32514-5305
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1733 | SC | MD | Professional Counselor |
| 5621 | OH | MD | Clinical Psychologist |
| 003225 | GA | MD | Optometrist |
Practice roles (6 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| S & H Eye Care, LLC | Optometrist | Current | Accepting new patients |
| S & H Eye Care, LLC | Optometrist | Current | Accepting new patients |
| Ga Doctors of Optometry LLC | Optometrist | Current | Accepting new patients |
| Friendly Eyes Optometry LLC | Current | Accepting new patients | |
| A. Dylan Reach, OD, PC | Optometrist | Current | Accepting new patients |
| Ga Doctors of Optometry LLC | Optometrist | Current | Accepting new patients |
Locations
4900 Ivey Rd NW
Ste 1226
Acworth, GA 30101
Phone (678) 279-1141
4900 Ivey Rd NW
Ste 12226
Acworth, GA 30101
Phone (770) 974-3153
1810 Cumming Hwy
Spc F1010
Canton, GA 30115
Phone (770) 704-9666
50 Main Street Market Pl SE
Ste 100
Cartersville, GA 30121
Phone (770) 382-6379
1055 Silver Bluff Rd
Ste A
Aiken, SC 29803
Phone (803) 642-4339
11 Robert Smalls Pkwy
Ste H
Beaufort, SC 29906
Phone (843) 524-8302
Networks
- Freedom Health HMO Network
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Acworth, GA
- NPI 1205140126
-
- Optometrist
- Lithonia, GA
- NPI 1174105936
-
- Clinic/Center
- Pompano Beach, FL
- NPI 1811708977
-
- Optometrist
- Aiken, SC
- NPI 1528345691
-
- Optometrist
- Beaufort, SC
- NPI 1043574536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674172800000",
"number": "1528080710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "732 CRESCENT CIR",
"city": "CANTON",
"state": "GA",
"postal_code": "301154771",
"telephone_number": "614-638-3140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1810 CUMMING HWY SPC F-1010",
"city": "CANTON",
"state": "GA",
"postal_code": "301152986",
"telephone_number": "770-704-9666",
"fax_number": "614-856-0534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LASALLE",
"first_name": "EMILY",
"middle_name": "ROSE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-24",
"last_updated": "2023-01-20",
"certification_date": "2023-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "5621",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "003225",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.