Organization Active NPI

Goh Vision LLC

  • Optometrist
  • Atlanta, GA
National Provider Identifier
1619415718
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT002903 Issued in GA
Legal business name
GOH VISION LLC
Practice address
2140 Peachtree Rd NW Ste 223
Atlanta, GA 30309-1316
Phone
(770) 520-8505
Fax
(770) 520-8502
NPI assigned
Feb 9, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Authorized official

Name
Adeline C Goh, ODNPI 1588110415
Title
Owner/Optometrist
Phone
(404) 720-7721

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 OPT002903 GA Primary

Addresses

Primary practice location

2140 Peachtree Rd NW Ste 223
Atlanta, GA 30309-1316

Mailing address

2140 Peachtree Rd NW Ste 223
Atlanta, GA 30309-1316
Phone (770) 520-8505

Other practice location 1

2400 N Druid Hills Rd NE
Atlanta, GA 30329-3211
Phone (404) 720-7721

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250416001017 GA Part B Supplier - Clinic/Group Practice 5597299008 Receives reassigned benefits from 1 practitioner
Practice locations: Atlanta, GA

National Provider Directory

National Provider Directory

Locations

2140 Peachtree Rd NW
Ste 223
Atlanta, GA 30309
Phone (770) 520-8505

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": "1486598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742860800000",
    "number": "1619415718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 PEACHTREE RD NW STE 223",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091316",
            "telephone_number": "770-520-8505",
            "fax_number": "770-520-8502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 PEACHTREE RD NW STE 223",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091316",
            "telephone_number": "770-520-8505",
            "fax_number": "770-520-8502"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 N Druid Hills Rd NE",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303293211",
            "country_code": "US",
            "telephone_number": "404-720-7721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GOH VISION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-09",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A",
        "authorized_official_last_name": "GOH",
        "authorized_official_first_name": "ADELINE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "404-720-7721",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; 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.

Verify at the official NPI Registry.