Active NPI
Gary C Duey, O.D.
- Optometrist
- Marietta, GA
National Provider Identifier
1669470480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT001420
- Practice address
- 3405 Dallas Hwy SW
Suite 405
Marietta, GA 30064-6426 - Phone
- (770) 420-9877
- Fax
- (770) 420-9898
- NPI assigned
- Jul 14, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT001420 | GA | Primary |
Addresses
Primary practice location
3405 Dallas Hwy SW
Suite 405
Marietta, GA 30064-6426
Mailing address
3405 Dallas Hwy SW
Suite 405
Marietta, GA 30064-6426
Phone (770) 420-9877
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 52576494 | Other | GA | BLUE CROSS/BLUE SHIELD |
| 760646583A | Medicaid | GA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060523000027 | GA | Practitioner - Optometry | 9931110301 | Practice locations: Marietta, GA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zeena Optical LLC | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Optometrist
- Marietta, GA
- NPI 1174263065
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383091200000",
"number": "1669470480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3405 DALLAS HWY SW",
"address_2": "SUITE 405",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300646426",
"telephone_number": "770-420-9877",
"fax_number": "770-420-9898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3405 DALLAS HWY SW",
"address_2": "SUITE 405",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300646426",
"telephone_number": "770-420-9877",
"fax_number": "770-420-9898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUEY",
"first_name": "GARY",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-14",
"last_updated": "2013-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "OPT001420",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "52576494",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "760646583A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.