NPIMap

Organization Active NPI

B3 Optical LLC

  • Optometrist
  • Stockbridge, GA
National Provider Identifier
1679953293
Registry record updated Jun 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
B3 OPTICAL LLC
Practice address
550 Eales Landing Parkway
Suite 208
Stockbridge, GA 30281-9082
Phone
(770) 474-1237
Fax
(770) 474-5224
NPI assigned
Jun 9, 2015
Last updated
Jun 9, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2015

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

Authorized official

Name
Dr. Laura C Depoe, ODNPI 1154410918
Title
Owner
Phone
(770) 474-1237

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

550 Eales Landing Parkway
Suite 208
Stockbridge, GA 30281-9082

Mailing address

128 N Park Dr
Fayetteville, GA 30214-1645
Phone (770) 474-1237

National Provider Directory

National Provider Directory

Locations

128 N Park Dr
Fayetteville, GA 30214
Phone (770) 461-3060

550 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 661-6798

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1433808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433808000000",
    "number": "1679953293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 N PARK DR",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302141645",
            "telephone_number": "770-474-1237",
            "fax_number": "770-474-5224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 EALES LANDING PARKWAY",
            "address_2": "SUITE 208",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819082",
            "telephone_number": "770-474-1237",
            "fax_number": "770-474-5224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B3 OPTICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-09",
        "last_updated": "2015-06-09",
        "status": "A",
        "authorized_official_last_name": "DEPOE",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-474-1237",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; 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.