Merritt Eye Care, P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT002318 Issued in GA

Legal business name

MERRITT EYE CARE, P.C.

Practice address

1735 S Highway 27
Carrollton, GA 30117-8941

Phone

(770) 214-7310

Fax

(770) 214-7410

NPI assigned

Apr 1, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Kristi Merritt Jackson, O.D.

Title

President/Owner

Phone

(404) 668-4485

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388707200000",
    "number": "1568604825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1576 NEW ST NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303072846",
            "telephone_number": "404-668-4485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 S HIGHWAY 27",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301178941",
            "telephone_number": "770-214-7310",
            "fax_number": "770-214-7410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERRITT EYE CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-01",
        "last_updated": "2014-01-03",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_middle_name": "MERRITT",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "404-668-4485",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medical Care Consultants
• Cameron Medina, PA-C
• Hiyab Menasie
• Ana Lyllian Guadalupe Menjivar-Couch, LPC
• Katherine Merrill, DMD
• Alexander Meski, MD
• Jamie Meyer, M.ED.,LAPC
• Joyce L Middlebrooks, CRNA
• Daniel James Mielcarski, DC
• Lisa N Mielcarski, D.C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2014; 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.