Thea Rossi OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT002127 Issued in GA

Legal business name

THEA ROSSI OD PC

Practice address

890 Dawsonville Hwy
Ste a
Gainesville, GA 30501-2607

Phone

(770) 532-4591

NPI assigned

Sep 16, 2010

Organization subpart

No

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

Authorized official

Name

Thea Rossi, O.D.

Title

Owner

Phone

(404) 323-0168

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1284595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299196800000",
    "number": "1558679191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 HAYNES ST SW UNIT 113",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303131377",
            "telephone_number": "404-323-0168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 DAWSONVILLE HWY",
            "address_2": "STE A",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305012607",
            "telephone_number": "770-532-4591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEA ROSSI OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-16",
        "last_updated": "2011-03-04",
        "status": "A",
        "authorized_official_last_name": "ROSSI",
        "authorized_official_first_name": "THEA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-323-0168",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI (INDIVIDUAL)",
            "identifier": "1104884873",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2011; 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.