Eye Associates of Smyrna

Primary specialty

OptometristTaxonomy code 152W00000X

License

002154 Issued in GA

Legal business name

EYE ASSOCIATES OF SMYRNA

Practice address

2430 Herodian Way SE Ste 200
Smyrna, GA 30080-2980

Phone

(770) 953-9000

Fax

(770) 953-1553

NPI assigned

Apr 8, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Parveen Jaglan, O.D.NPI 1003997131

Title

Owner

Phone

(770) 953-9000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Parveen Jaglan, O.D.

  • Optometrist
  • Smyrna, GA
  • NPI 1003997131
  Medicare reassignment NPD Authorized official
• William Patrick Parks, O.D.

  • Optometrist
  • Augusta, GA
  • NPI 1528163045
  Medicare reassignment NPD
• Brenda E Rosado Gonzalez, O.D., MBA

  • Optometrist
  • Commerce, GA
  • NPI 1588095319
  Medicare reassignment NPD
• Alexandra Nicole Houston, O.D.

  • Optometrist
  • Locust Grove, GA
  • NPI 1093827289
  NPD (past)

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1548433857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2430 HERODIAN WAY SE STE 200",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300802980",
            "telephone_number": "770-953-9000",
            "fax_number": "770-953-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2430 HERODIAN WAY SE STE 200",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300802980",
            "telephone_number": "770-953-9000",
            "fax_number": "770-953-1553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE ASSOCIATES OF SMYRNA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "JAGLAN",
        "authorized_official_first_name": "PARVEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-953-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "002154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jada Evans, PHARM. D.
• Evenly South, LLC
• Evolve Consulting
• Veronock Exavier
• Extensions of U
• Ijeoma Ezegbo
• Audrey N Ezeh, CRNA, MSN
• Yasmeen Faine
• Kristen Faircloth, LPC
• Jaelore Giavanni Faison

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.