Active NPI
Madalen Arzuaga, OD
- Optometrist
- Cumming, GA
National Provider Identifier
1659332583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT002371
- Practice address
- 2045 Market Place Blvd
Cumming, GA 30041-7931 - Phone
- (678) 208-1250
- Fax
- (678) 208-1255
- NPI assigned
- Mar 30, 2006
- Last updated
- Jan 24, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | VUT0068551 | NY | |
| Optometrist | 152W00000X | OPT002371 | GA | Primary |
Addresses
Primary practice location
2045 Market Place Blvd
Cumming, GA 30041-7931
Mailing address
2045 Market Place Blvd
Cumming, GA 30041-7931
Phone (678) 208-1250
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| VUT0068551 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empire Vision Center, Inc | Past | Accepting new patients | |
| Empire Vision Center Inc | Optometrist | Past | Accepting new patients |
| America's Best Contacts & Eyeglasses | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Optician
- Cumming, GA
- NPI 1891091823
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674518400000",
"number": "1659332583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2045 MARKET PLACE BLVD",
"city": "CUMMING",
"state": "GA",
"postal_code": "300417931",
"telephone_number": "678-208-1250",
"fax_number": "678-208-1255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2045 MARKET PLACE BLVD",
"city": "CUMMING",
"state": "GA",
"postal_code": "300417931",
"telephone_number": "678-208-1250",
"fax_number": "678-208-1255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARZUAGA",
"first_name": "MADALEN",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-30",
"last_updated": "2023-01-24",
"certification_date": "2023-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "VUT0068551",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "OPT002371",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cumming, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.