Active NPI
Bethel Eyecare
- Optometrist
- Duluth, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2370
- Legal business name
- BETHEL EYECARE
- Practice address
- 2148 Duluth Hwy Ste 102
Duluth, GA 30097-4504 - Phone
- (770) 817-3990
- Fax
- (770) 817-3991
- NPI assigned
- Feb 23, 2011
- Last updated
- Feb 23, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Susie Cha, O.D.
- Title
- Member
- Phone
- (770) 817-3990
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2370 | GA | Primary |
Addresses
Primary practice location
2148 Duluth Hwy Ste 102
Duluth, GA 30097-4504
Mailing address
2148 Duluth Hwy Ste 102
Duluth, GA 30097-4504
Phone (770) 817-3990
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2148 Duluth Hwy
Duluth, GA 30097
2148 Duluth Hwy
Ste 102
Duluth, GA 30097
Phone (770) 817-3990
2320 Peachtree Industrial Blvd
Ste 104
Duluth, GA 30097
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Duluth, GA
- NPI 1811196033
-
- Optometrist
- Duluth, GA
- NPI 1205407244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298419200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1298419200000",
"number": "1619274941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2148 DULUTH HWY STE 102",
"city": "DULUTH",
"state": "GA",
"postal_code": "300974504",
"telephone_number": "770-817-3990",
"fax_number": "770-817-3991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2148 DULUTH HWY STE 102",
"city": "DULUTH",
"state": "GA",
"postal_code": "300974504",
"telephone_number": "770-817-3990",
"fax_number": "770-817-3991"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BETHEL EYECARE",
"organizational_subpart": "NO",
"enumeration_date": "2011-02-23",
"last_updated": "2011-02-23",
"status": "A",
"authorized_official_last_name": "CHA",
"authorized_official_first_name": "SUSIE",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "770-817-3990",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "2370",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Duluth, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.