NPIMap

Organization Active NPI

Carlos E. Pessoa, OD, LLC

  • Clinic/Center
  • Dallas, GA
National Provider Identifier
1548708472
Registry record updated Feb 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CARLOS E. PESSOA, OD, LLC
Doing business as
Family Vision Center
Practice address
1498 Merchants Dr
Dallas, GA 30132-5064
Phone
(770) 445-2715
NPI assigned
Feb 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2017

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

Authorized official

Name
Dr. Carlos Eduardo Pessoa, O.D.NPI 1114377173
Title
Owner/Ceo
Phone
(770) 445-2715

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1498 Merchants Dr
Dallas, GA 30132-5064

Mailing address

1498 Merchants Dr
Dallas, GA 30132-5064
Phone (770) 445-2715

Other names 1

  • Family Vision Center Doing business as

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1486771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486771200000",
    "number": "1548708472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1498 MERCHANTS DR",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301325064",
            "telephone_number": "770-445-2715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1498 MERCHANTS DR",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301325064",
            "telephone_number": "770-445-2715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLOS E. PESSOA, OD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-11",
        "last_updated": "2017-02-11",
        "status": "A",
        "authorized_official_last_name": "PESSOA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "EDUARDO",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "770-445-2715",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2017; 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.