NPIMap

Organization Active NPI

Eye Care Centers Management Inc

Doing business as Clayton Eye Center or Spalding Eye Center

  • Ophthalmology Physician
  • Morrow, GA
National Provider Identifier
1699888131
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
EYE CARE CENTERS MANAGEMENT INC
Doing business as
Clayton Eye Center or Spalding Eye Center
Practice address
1000 Corporate Center Dr
Ste 100
Morrow, GA 30260-4180
Phone
(770) 968-8888
Fax
(770) 960-2473
NPI assigned
Aug 17, 2006
Last updated
Mar 31, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Authorized official

Name
Joon Y Kim, MDNPI 1942295233
Title
Owner
Phone
(770) 968-8888

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary
Eyewear Supplier 332H00000X 016040001 GA

Addresses

Primary practice location

1000 Corporate Center Dr
Ste 100
Morrow, GA 30260-4180

Mailing address

1000 Corporate Center Dr
Ste 100
Morrow, GA 30260-4180
Phone (770) 968-8888

Other practice location 1

500 Plaza Pkwy
McDonough, GA 30253-6146
Phone (770) 968-8888

Other practice location 2

620A S 8th St
Griffin, GA 30224-4214
Phone (770) 968-8888

Other practice location 3

60 Oak Hill Blvd
Newnan, GA 30265-2314
Phone (770) 968-8888

Other names 1

  • Clayton Eye Center or Spalding Eye Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040422000201 GA Part B Supplier - Clinic/Group Practice 5092701342 Receives reassigned benefits from 13 practitioners
1 other NPI on this enrollment
Practice locations: McDonough, GA; Morrow, GA; Newnan, GA
O20100930057084 GA DME Supplier - Physician - OptometristDME Supplier - Physician - Ophthalmology 5092701342 Practice locations: Morrow, GA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
The Eye Care Centers2 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.

Locations

620 S 8th St
#A
Griffin, GA 30224
Phone (770) 968-8888

620 S 8th St
Ste A
Griffin, GA 30224

1000 Corporate Center Dr
Morrow, GA 30260
Phone (770) 968-6464

1000 Corporate Center Dr
Ste 120
Morrow, GA 30260

Interoperability endpoints

  • Direct secure messaging: apetty@cec.intellechartdirect.net
  • Direct secure messaging: arobateau@cec.intellechartdirect.net
  • Direct secure messaging: bfrantz@cec.intellechartdirect.net
  • Direct secure messaging: ckim@cec.intellechartdirect.net
  • Direct secure messaging: egarcia@cec.intellechartdirect.net
  • Direct secure messaging: hlattouf@cec.intellechartdirect.net
  • Direct secure messaging: ldubiner@cec.intellechartdirect.net
  • Direct secure messaging: mthai@cec.intellechartdirect.net
  • Direct secure messaging: rwoodruff@cec.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617148800000",
    "number": "1699888131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 CORPORATE CENTER DR",
            "address_2": "STE 100",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302604180",
            "telephone_number": "770-968-8888",
            "fax_number": "770-960-2473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 CORPORATE CENTER DR",
            "address_2": "STE 100",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302604180",
            "telephone_number": "770-968-8888",
            "fax_number": "770-960-2473"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Plaza Pkwy",
            "address_purpose": "LOCATION",
            "city": "McDonough",
            "state": "GA",
            "postal_code": "302536146",
            "country_code": "US",
            "telephone_number": "770-968-8888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "620A S 8th St",
            "address_purpose": "LOCATION",
            "city": "Griffin",
            "state": "GA",
            "postal_code": "302244214",
            "country_code": "US",
            "telephone_number": "770-968-8888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "60 Oak Hill Blvd",
            "address_purpose": "LOCATION",
            "city": "Newnan",
            "state": "GA",
            "postal_code": "302652314",
            "country_code": "US",
            "telephone_number": "770-968-8888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EYE CARE CENTERS MANAGEMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JOON",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-968-8888",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "GA",
            "license": "016040001",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clayton Eye Center or Spalding Eye Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Clayton Eye Center or Spalding Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Morrow, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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.

Verify at the official NPI Registry.