Organization Active NPI

Town Center Vision Care, LLC

  • Optometrist
  • Kennesaw, GA
National Provider Identifier
1669929634
Registry record updated Dec 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
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

Updated by the provider on Dec 22, 2022

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.