Organization Active NPI

Vision Institute Optical, LLC

  • Optometrist
  • Lawrenceville, GA
National Provider Identifier
1679794531
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT001255 Issued in GA
Legal business name
VISION INSTITUTE OPTICAL, LLC
Practice address
3370 Sugarloaf Pkwy
Suite B-3
Lawrenceville, GA 30044-5478
Phone
(770) 339-9100
Fax
(770) 339-9090
NPI assigned
May 1, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Debbie Zier
Title
Administrator
Phone
(770) 979-1144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPT001255 GA Primary

Addresses

Primary practice location

3370 Sugarloaf Pkwy
Suite B-3
Lawrenceville, GA 30044-5478

Mailing address

2085 McGee Rd
Snellville, GA 30078-2910
Phone (770) 979-1144

Other identifiers 1

IdentifierTypeStateIssuer
00493347BMedicaidGA

National Provider Directory

National Provider Directory
Tax ID family
Vision Institute Optical LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679794531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2085 MCGEE RD",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300782910",
            "telephone_number": "770-979-1144",
            "fax_number": "770-736-1480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3370 SUGARLOAF PKWY",
            "address_2": "SUITE B-3",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300445478",
            "telephone_number": "770-339-9100",
            "fax_number": "770-339-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION INSTITUTE OPTICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZIER",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "770-979-1144"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT001255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00493347B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.