NPIMap

Organization Active NPI

Kim's Eyeland Optical, Inc.

Doing business as Eyeland Optical, Inc,

  • Technician/Technologist
  • Duluth, GA
National Provider Identifier
1538308655
Registry record updated Feb 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Technician/TechnologistTaxonomy code 156F00000X
License
LDO001889 Issued in GA
Legal business name
KIM'S EYELAND OPTICAL, INC.
Doing business as
Eyeland Optical, Inc,
Practice address
3751 Satellite Blvd
Suite 200
Duluth, GA 30096-8840
Phone
(678) 473-0911
Fax
(678) 473-9100
NPI assigned
Feb 12, 2009
Last updated
Feb 12, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2009

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

Authorized official

Name
Mr. Choon Kim, L.D.O.NPI 1881007797
Title
President
Phone
(678) 473-0911

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X GA002284 GA
Technician/Technologist 156F00000X LDO001889 GA Primary

Addresses

Primary practice location

3751 Satellite Blvd
Suite 200
Duluth, GA 30096-8840

Mailing address

3751 Satellite Blvd
Suite 200
Duluth, GA 30096-8840
Phone (678) 473-0911

Other names 1

  • Eyeland Optical, Inc, Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kim's Eyeland Optical Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1234396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234396800000",
    "number": "1538308655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3751 SATELLITE BLVD",
            "address_2": "SUITE 200",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300968840",
            "telephone_number": "678-473-0911",
            "fax_number": "678-473-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3751 SATELLITE BLVD",
            "address_2": "SUITE 200",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300968840",
            "telephone_number": "678-473-0911",
            "fax_number": "678-473-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM'S EYELAND OPTICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-12",
        "last_updated": "2009-02-12",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "CHOON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-473-0911",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.D.O."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "GA002284",
            "primary": false
        },
        {
            "code": "156F00000X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist",
            "state": "GA",
            "license": "LDO001889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyeland Optical, Inc,",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2009; 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.