Organization Active NPI

Maya Family Inc

Doing business as Eyedeology Vision Center and Optique

  • Optometrist
  • Atlanta, GA
National Provider Identifier
1548499361
Registry record updated Jul 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT002472 Issued in GA
Legal business name
MAYA FAMILY INC
Doing business as
Eyedeology Vision Center and Optique
Practice address
860 Peachtree St NE
Suite F
Atlanta, GA 30308-1249
Phone
(404) 853-5008
Fax
(404) 853-5009
NPI assigned
Jul 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2009

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

Authorized official

Name
Dr. Sima Gupta, OD, MPH
Title
Optometrist/Owner
Phone
(404) 853-5008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPT002472 GA Primary

Addresses

Primary practice location

860 Peachtree St NE
Suite F
Atlanta, GA 30308-1249

Mailing address

860 Peachtree St NE
Suite F
Atlanta, GA 30308-1249
Phone (404) 853-5008

Other names 1

  • Eyedeology Vision Center and Optique Doing business as

National Provider Directory

National Provider Directory

Locations

860 Peachtree St NE
Ste F
Atlanta, GA 30308
Phone (404) 853-5008

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247529600000",
    "number": "1548499361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 PEACHTREE ST NE",
            "address_2": "SUITE F",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303081249",
            "telephone_number": "404-853-5008",
            "fax_number": "404-853-5009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 PEACHTREE ST NE",
            "address_2": "SUITE F",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303081249",
            "telephone_number": "404-853-5008",
            "fax_number": "404-853-5009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYA FAMILY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-14",
        "last_updated": "2009-07-14",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "SIMA",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "404-853-5008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD, MPH"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyedeology Vision Center and Optique",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.