Active NPI
Town Center Vision Care, LLC
- Optometrist
- Kennesaw, GA
National Provider Identifier
1669929634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- TOWN CENTER VISION CARE, LLC
- Practice address
- 400 Ernest W Barrett Pkwy NW Ste 617
Kennesaw, GA 30144-4997 - Phone
- (770) 727-0772
- Fax
- (770) 766-1117
- NPI assigned
- Sep 7, 2016
- 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
- Anisha Haji
- Title
- Cmo, Owner
- Phone
- (470) 725-6171
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
400 Ernest W Barrett Pkwy NW Ste 617
Kennesaw, GA 30144-4997
Mailing address
200 Ashford Ctr N Ste 305
Atlanta, GA 30338-2682
Phone (770) 727-0772
Other names 1
- Atlanta Eye Group - Town Center
National Provider Directory
National Provider DirectoryLocations
1300 Ernest W Barrett Pkwy NW
Ste 250
Kennesaw, GA 30152
Phone (770) 421-0507
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473206400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1671667200000",
"number": "1669929634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 ASHFORD CTR N STE 305",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303382682",
"telephone_number": "770-727-0772",
"fax_number": "770-766-1117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 ERNEST W BARRETT PKWY NW STE 617",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301444997",
"telephone_number": "770-727-0772",
"fax_number": "770-766-1117"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWN CENTER VISION CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-07",
"last_updated": "2022-12-22",
"certification_date": "2022-12-22",
"status": "A",
"authorized_official_last_name": "HAJI",
"authorized_official_first_name": "ANISHA",
"authorized_official_title_or_position": "CMO, OWNER",
"authorized_official_telephone_number": "470-725-6171"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Atlanta Eye Group - Town Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Kennesaw, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.