NPIMap

Organization Active NPI

Medical Concepts in Vision

  • Optician
  • Norcross, GA
National Provider Identifier
1629109186
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
LDO001172 Issued in GA
Legal business name
MEDICAL CONCEPTS IN VISION
Practice address
724 Holcomb Bridge Rd
Norcross, GA 30071-1325
Phone
(770) 263-7060
Fax
(770) 840-0901
NPI assigned
Mar 8, 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
Jerry F Hummel, L.D.O.
Title
Ceo
Phone
(770) 263-7060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X LDO001172 GA Primary

Addresses

Primary practice location

724 Holcomb Bridge Rd
Norcross, GA 30071-1325

Mailing address

724 Holcomb Bridge Rd
Norcross, GA 30071-1325
Phone (770) 263-7060

National Provider Directory

National Provider Directory

Locations

724 Holcomb Bridge Rd
Norcross, GA 30071
Phone (770) 263-7060

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": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629109186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 HOLCOMB BRIDGE RD",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300711325",
            "telephone_number": "770-263-7060",
            "fax_number": "770-840-0901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 HOLCOMB BRIDGE RD",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300711325",
            "telephone_number": "770-263-7060",
            "fax_number": "770-840-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CONCEPTS IN VISION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUMMEL",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-263-7060",
        "authorized_official_credential": "L.D.O."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "GA",
            "license": "LDO001172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norcross, 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.