Active NPI
Small Town Eyecare Partners, LLC
- Optometrist
- Villa Rica, GA
National Provider Identifier
1649831785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- SMALL TOWN EYECARE PARTNERS, LLC
- Practice address
- 921 Moores Ferry Rd Ste C
Villa Rica, GA 30180-9706 - Phone
- (770) 830-3212
- NPI assigned
- Jun 27, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mehrdad E. Saadat, O.D.
- Title
- President
- Phone
- (770) 310-1198
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
921 Moores Ferry Rd Ste C
Villa Rica, GA 30180-9706
Mailing address
921 Moores Ferry Rd Ste C
Villa Rica, GA 30180-9706
Phone (678) 460-0498
Other names 1
- Vision Source Villa Rica
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
921 Moores Ferry Rd
Ste C
Villa Rica, GA 30180
Phone (678) 460-0498
921 Moores Ferry Rd
Villa Rica, GA 30180
Phone (678) 460-0498
Practitioners & affiliated clinicians
Practitioners 6
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": "1561593600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763337600000",
"number": "1649831785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "921 MOORES FERRY RD STE C",
"city": "VILLA RICA",
"state": "GA",
"postal_code": "301809706",
"telephone_number": "678-460-0498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "921 MOORES FERRY RD STE C",
"city": "VILLA RICA",
"state": "GA",
"postal_code": "301809706",
"telephone_number": "770-830-3212"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMALL TOWN EYECARE PARTNERS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-06-27",
"last_updated": "2025-11-17",
"certification_date": "2025-11-17",
"status": "A",
"authorized_official_last_name": "SAADAT",
"authorized_official_first_name": "MEHRDAD",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "770-310-1198",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Vision Source Villa Rica",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Villa Rica, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.