NPIMap

Organization Active NPI

American Optical Services LLC

Doing business as The Eye Gallery - The Forum

  • Optometrist
  • Norcross, GA
National Provider Identifier
1689909319
Registry record updated May 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
AMERICAN OPTICAL SERVICES LLC
Doing business as
The Eye Gallery - The Forum
Practice address
5165 Peachtree Pkwy
Suite 225
Norcross, GA 30092-2523
Phone
(770) 447-4790
Fax
(770) 447-4368
NPI assigned
Oct 14, 2009
Last updated
May 4, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2012

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

Authorized official

Name
Erica Perreira
Title
Chief Operating Officer
Phone
(887) 881-0022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X GA Primary

Addresses

Primary practice location

5165 Peachtree Pkwy
Suite 225
Norcross, GA 30092-2523

Mailing address

8076 W Sahara Ave
Las Vegas, NV 89117-7930
Phone (877) 881-0022

Other names 1

  • The Eye Gallery - The Forum Doing business as

National Provider Directory

National Provider Directory
Tax ID family
American Optical Services LLC9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Locations

5165 Peachtree Pkwy
Ste 225
Norcross, GA 30092
Phone (770) 447-4790

Practitioners & affiliated clinicians

Practitioners 1

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": "1255478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336089600000",
    "number": "1689909319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8076 W SAHARA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891177930",
            "telephone_number": "877-881-0022",
            "fax_number": "702-543-0314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5165 PEACHTREE PKWY",
            "address_2": "SUITE 225",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300922523",
            "telephone_number": "770-447-4790",
            "fax_number": "770-447-4368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN OPTICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-14",
        "last_updated": "2012-05-04",
        "status": "A",
        "authorized_official_last_name": "PERREIRA",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "887-881-0022"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Eye Gallery - The Forum",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norcross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2012; 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.