Georgia Eye Associates, P.C.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

031101 Issued in GA

Legal business name

GEORGIA EYE ASSOCIATES, P.C.

Practice address

771 Old Norcross Rd
Suite 150
Lawrenceville, GA 30046-4979

Phone

(770) 995-5408

Fax

(770) 513-2042

NPI assigned

Oct 10, 2006

Last updated

Dec 22, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Donald E Poland, M.D.NPI 1437111333

Title

Owner

Phone

(770) 995-5408

Specialties & licenses 6

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• Direct secure messaging: jchartash@georgiaeyeassociates.intellechartdirect.net
• Direct secure messaging: ykim@georgiaeyeassociates.intellechartdirect.net

Practitioners 17

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.

• Donald E Poland, M.D.

  • Ophthalmology Physician
  • Lawrenceville, GA
  • NPI 1437111333
  Medicare reassignment Care Compare group NPD Authorized official
• Jeremy Chartash, OD

  • Optometrist
  • Sandy Springs, GA
  • NPI 1568903680
  Medicare reassignment Care Compare group NPD
• Kris F Gillian, M.D.

  • Ophthalmology Physician
  • Lawrenceville, GA
  • NPI 1073575940
  Medicare reassignment Care Compare group NPD
• Brian A Kahn, O.D.

  • Optometrist
  • Atlanta, GA
  • NPI 1962412783
  Medicare reassignment Care Compare group NPD
• Ye Ji Kim, OD

  • Optometrist
  • Gainesville, GA
  • NPI 1306415385
  Medicare reassignment Care Compare group NPD
• Brigette Bailey Rabitsch, O.D.

  • Optometrist
  • Lawrenceville, GA
  • NPI 1144243296
  Medicare reassignment Care Compare group NPD
• Benjamin Raymond Strauss, M.D.

  • Ophthalmology Physician
  • Lawrenceville, GA
  • NPI 1295091163
  Medicare reassignment Care Compare group NPD
• Frank L. Winski, O.D.

  • Optometrist
  • Lawrenceville, GA
  • NPI 1194787168
  Medicare reassignment Care Compare group NPD
• Elizabeth F Ellison, OD

  • Optometrist
  • Gainesville, GA
  • NPI 1629459581
  Medicare reassignment NPD
• Stephen Ellison, O.D.

  • Optometrist
  • Gainesville, GA
  • NPI 1316395445
  Medicare reassignment NPD
• Melanie P Erickson, O.D.

  • Optometrist
  • Alpharetta, GA
  • NPI 1063775781
  Medicare reassignment NPD
• Kenneth Martin Boxer, OD

  • Optometrist
  • Atlanta, GA
  • NPI 1609990506
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419206400000",
    "number": "1629165642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "771 OLD NORCROSS RD",
            "address_2": "SUITE 150",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300464979",
            "telephone_number": "770-995-5408",
            "fax_number": "770-513-2042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "771 OLD NORCROSS RD",
            "address_2": "SUITE 150",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300464979",
            "telephone_number": "770-995-5408",
            "fax_number": "770-513-2042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA EYE ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2014-12-22",
        "status": "A",
        "authorized_official_last_name": "POLAND",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-995-5408",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002167",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT001207",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT001163",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "050167",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "021751",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "031101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CG1368",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Georgia CVS Pharmacy, L.L.C. (CVS Pharmacy #02841)
• Georgia CVS Pharmacy, L.L.C. (CVS Pharmacy # 04730)
• Georgia CVS Pharmacy, L.L.C. (CVS Pharmacy # 02103)
• Georgia CVS Pharmacy, L.L.C. (CVS Pharmacy #02570)
• Georgia Diagnostic Centers
• Georgia Eye Group LLC
• Georgia Family Resources LLC
• Georgia Health Imaging
• Georgia Health Imaging
• Georgia Health Imaging, LLC

• Ophthalmology Physician in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Ophthalmology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.