Organization Active NPI

Eyes-Rite,Inc

  • Optician
  • Tucker, GA
National Provider Identifier
1609822790
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
GA00001360 Issued in GA
Legal business name
EYES-RITE,INC
Practice address
3983 Lavista Rd
Suite 125
Tucker, GA 30084-5153
Phone
(770) 938-9170
Fax
(770) 270-9025
NPI assigned
May 26, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Roberta Ann Sinclair, LDO
Title
President
Phone
(770) 938-9170

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X GA00001360 GA Primary

Addresses

Primary practice location

3983 Lavista Rd
Suite 125
Tucker, GA 30084-5153

Mailing address

3983 Lavista Rd
Suite 125
Tucker, GA 30084-5153
Phone (770) 938-9170

National Provider Directory

National Provider Directory

Locations

3983 Lavista Rd
Ste 125
Tucker, GA 30084
Phone (770) 270-9977

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609822790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3983 LAVISTA RD",
            "address_2": "SUITE 125",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300845153",
            "telephone_number": "770-938-9170",
            "fax_number": "770-270-9025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3983 LAVISTA RD",
            "address_2": "SUITE 125",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300845153",
            "telephone_number": "770-938-9170",
            "fax_number": "770-270-9025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYES-RITE,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SINCLAIR",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-938-9170",
        "authorized_official_credential": "LDO"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "GA",
            "license": "GA00001360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucker, 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.