Active NPI
Eye 1St Holdings LLC
- Optometrist
- Sandy Springs, GA
National Provider Identifier
1699830091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 917
- Legal business name
- EYE 1ST HOLDINGS LLC
- Practice address
- 901 Abernathy Rd Ste 100
Sandy Springs, GA 30328-2561 - Phone
- (404) 252-1702
- Fax
- (404) 303-8843
- NPI assigned
- Dec 26, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. George David Shida, O.D.
- Title
- President
- Phone
- (404) 252-1702
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 917 | GA | Primary |
Addresses
Primary practice location
901 Abernathy Rd Ste 100
Sandy Springs, GA 30328-2561
Mailing address
901 Abernathy Rd.
Ste 100
Sandy Springs, GA 30328
Phone (404) 252-1702
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 823239700A | Medicaid | GA |
Other names 1
- Eye 1st Vision Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040421000587 | GA | Part B Supplier - Clinic/Group Practice | 8729074380 |
Receives reassigned benefits from 7 practitioners Practice locations: Sandy Springs, GA |
National Provider Directory
National Provider DirectoryLocations
2184 Henderson Mill Rd NE
#12
Atlanta, GA 30345
4920 Roswell Rd
Ste 11
Sandy Springs, GA 30342
Phone (404) 252-1702
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Oxford, MS
- NPI 1033160403
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167091200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1699830091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 ABERNATHY RD.",
"address_2": "STE 100",
"city": "SANDY SPRINGS",
"state": "GA",
"postal_code": "30328",
"telephone_number": "404-252-1702",
"fax_number": "404-303-8843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 ABERNATHY RD STE 100",
"city": "SANDY SPRINGS",
"state": "GA",
"postal_code": "303282561",
"telephone_number": "404-252-1702",
"fax_number": "404-303-8843"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EYE 1ST HOLDINGS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-26",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "SHIDA",
"authorized_official_first_name": "GEORGE",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "404-252-1702",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "GA",
"license": "917",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "823239700A",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Eye 1st Vision Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Sandy Springs, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.