Organization Active NPI

Envision Family Eyecare LLC

  • Optometrist
  • McDonough, GA
National Provider Identifier
1588865885
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT002141 Issued in GA
Legal business name
ENVISION FAMILY EYECARE LLC
Practice address
414 Highway 155 S
McDonough, GA 30253-6623
Phone
(770) 288-2221
Fax
(770) 288-2224
NPI assigned
May 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Seth E Murphy, O.D.NPI 1497725196
Title
Principal
Phone
(770) 288-2221

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPT002141 GA Primary

Addresses

Primary practice location

414 Highway 155 S
McDonough, GA 30253-6623

Mailing address

414 Highway 155 S
McDonough, GA 30253-6623
Phone (770) 288-2221

National Provider Directory

National Provider Directory

Locations

414 Highway 155 S
McDonough, GA 30253
Phone (770) 288-2221

414 Highway 155 S
#0
McDonough, GA 30253

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": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1588865885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 HIGHWAY 155 S",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302536623",
            "telephone_number": "770-288-2221",
            "fax_number": "770-288-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 HIGHWAY 155 S",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302536623",
            "telephone_number": "770-288-2221",
            "fax_number": "770-288-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISION FAMILY EYECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "SETH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "770-288-2221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McDonough, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.