National Optic Provider

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

OPTOO1375 Issued in GA

Legal business name

NATIONAL OPTIC PROVIDER

Practice address

2740 Greenbriar Pkwy SW
Suite a-3
Atlanta, GA 30331-2627

Phone

(404) 344-3337

NPI assigned

Apr 12, 2007

Organization subpart

No

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

Authorized official

Name

Mr. David Williams

Title

Office Manager

Phone

(404) 344-3337

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1538383286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 GREENBRIAR PKWY SW",
            "address_2": "SUITE A-3",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303312627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 GREENBRIAR PKWY SW",
            "address_2": "SUITE A-3",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303312627",
            "telephone_number": "404-344-3337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL OPTIC PROVIDER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "404-344-3337",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "GA",
            "license": "OPTOO1375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "GE43177",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVESIS",
            "identifier": "101529",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF GA",
            "identifier": "40387",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Eyewear Supplier in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Eyewear Supplier in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.