Windward Eye Care, Inc.
Organization Active NPI Optometrist · Alpharetta, GA
NPI 1679710552 · NPPES record last updated Jan 14, 2009
Key facts
- NPI
- 1679710552
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- WINDWARD EYE CARE, INC.
- Practice address
- 2725 Old Milton Parkway
Suite B
Alpharetta, GA 30009 - Phone
- (770) 475-1777
- NPI assigned
- Jan 14, 2009
- Organization subpart
- Yes
- Parent organization (as reported)
- WINDWARD EYE CARE, INC.
Authorized official
- Name
- Thomas Arey, O.D.
- Title
- Owner/Doctor
- Phone
- (770) 475-1777
Parent organization (reported in NPPES) 1
Other NPIs on the same Medicare enrollment 1
Practitioners 8
-
Alyssa Dicus, OD
-
Herbert Barton Hahn, O.D.
-
Mark Machen, OD
-
Jennifer Moon, OD
-
Beth A Volingavage, O.D.
-
Andrea Michelle Knouff, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080922000223 | GA | Part B Supplier - Clinic/Group Practice | 3577630326 |
Receives reassigned benefits from 9 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Alpharetta, GA |
National Provider Directory
- Part of
- Alpharetta Eye Clinic
Locations
5315 Windward Pkwy
Ste F
Alpharetta, GA 30004
Phone (678) 393-2025
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
2725 Old Milton Parkway
Suite B
Alpharetta, GA 30009
Mailing address
2725 Old Milton Parkway
Suite B
Alpharetta, GA 30009
Phone (770) 475-1777
Other names
- Alpharetta Eye Clinic
Other providers in Alpharetta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.