Individual provider Active NPI

Edward Joseph Furey, OD

  • Optometrist
  • Roswell, GA
National Provider Identifier
1649267246
Registry record updated Jun 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1384 Issued in GA
Practice address
250 E Crossville Rd
Roswell, GA 30075-3040
Phone
(770) 993-5592
Fax
(770) 993-5595
NPI assigned
Sep 29, 2005
Last updated
Jun 9, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1384 GA Primary

Addresses

Primary practice location

250 E Crossville Rd
Roswell, GA 30075-3040

Mailing address

250 E Crossville Rd
Roswell, GA 30075-3040
Phone (770) 993-5592

Other identifiers 2

IdentifierTypeStateIssuer
41ZCFGWOtherGAPTAN
P00751225OtherGAMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050216000038 GA Practitioner - Optometry 7517918451 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Georgia, LLCGroup PAC ID 8224261201, 100 clinicians

Practice addresses (Care Compare)

250 E Crossville Rd
Roswell, GA 30075-3040
Phone (770) 993-5592

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1384GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Georgia, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Georgia, LLC Optometrist CurrentSince Aug 17, 2020 Accepting new patients
Myeyedr Optometry of Georgia LLC Optometrist CurrentSince Aug 17, 2020 Accepting new patients
Myeyedr Optometry of Georgia, LLC Optometrist Past Accepting new patients
Edward J Furey OD PC Optometrist PastSince Jan 19, 2005 Accepting new patients

Locations

4875 Altama Ave
Brunswick, GA 31520
Phone (912) 554-0010

1409 Sixes Rd
Canton, GA 30114
Phone (770) 852-2733

250 E Crossville Rd
Roswell, GA 30075
Phone (770) 720-4449

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276041600000",
    "number": "1649267246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 E CROSSVILLE RD",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300753040",
            "telephone_number": "770-993-5592",
            "fax_number": "770-993-5595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 E CROSSVILLE RD",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300753040",
            "telephone_number": "770-993-5592",
            "fax_number": "770-993-5595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUREY",
        "first_name": "EDWARD",
        "middle_name": "JOSEPH",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-29",
        "last_updated": "2010-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "1384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "41ZCFGW",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00751225",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

Verify at the official NPI Registry.