Individual provider Active NPI

Mary Elizabeth Farrar Brice, O.D.

  • Optometrist
  • Dunwoody, GA
National Provider Identifier
1649411950
Registry record updated Oct 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
002471 Issued in GA
Practice address
1637 Mt. Vernon Road
Suite 100
Dunwoody, GA 30338
Phone
(770) 396-3460
Fax
(770) 668-0436
NPI assigned
Mar 16, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 002471 GA Primary

Addresses

Primary practice location

1637 Mt. Vernon Road
Suite 100
Dunwoody, GA 30338

Mailing address

1637 Mt. Vernon Road
Suite 100
Dunwoody, GA 30338
Phone (770) 396-3460

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
I20100104000440 GA Practitioner - Optometry 1153462809 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Briggs Vision Group, P.C.Group PAC ID 4385639384, 7 clinicians

Practice addresses (Care Compare)

1637 Mount Vernon Rd
Suite 100
Dunwoody, GA 30338-4262
Phone (770) 396-3460

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002471GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Briggs Vision Group, P.C. Optometrist CurrentSince Nov 9, 2011 Accepting new patients
Modern Eyes of Georgia, LLC Optometrist Past Accepting new patients

Locations

1637 Mount Vernon Rd
Ste 100
Dunwoody, GA 30338
Phone (770) 396-3460

10305 Medlock Bridge Rd
Ste A5
Johns Creek, GA 30097

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1237161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319500800000",
    "number": "1649411950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1637 MT. VERNON ROAD",
            "address_2": "SUITE 100",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "30338",
            "telephone_number": "770-396-3460",
            "fax_number": "770-668-0436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1637 MT. VERNON ROAD",
            "address_2": "SUITE 100",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "30338",
            "telephone_number": "770-396-3460",
            "fax_number": "770-668-0436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRICE",
        "first_name": "MARY ELIZABETH",
        "middle_name": "FARRAR",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-16",
        "last_updated": "2011-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "002471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunwoody, GA

Sources for this page

Verify at the official NPI Registry.