Brookhaven Vision Care, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

BROOKHAVEN VISION CARE, LLC

Practice address

500 Brookhaven Ave NE
Brookhaven, GA 30319-3291

Phone

(704) 728-7588

NPI assigned

May 7, 2025

Organization subpart

No

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

Authorized official

Name

Joanna Miranda, ODNPI 1144759374

Title

Owner OD

Phone

(704) 728-7588

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joanna M Miranda, OD

  • Optometrist
  • Brookhaven, GA
  • NPI 1144759374
  NPD Authorized official

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

{
    "created_epoch": "1746576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746576000000",
    "number": "1700676558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5265 WHITEHAVEN PARK LN SE",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301265938",
            "telephone_number": "704-728-7588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 BROOKHAVEN AVE NE",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303193291",
            "telephone_number": "704-728-7588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKHAVEN VISION CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-07",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-06",
        "status": "A",
        "authorized_official_last_name": "MIRANDA",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_title_or_position": "OWNER OD",
        "authorized_official_telephone_number": "704-728-7588",
        "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": []
}

• Brookhaven Chiropractic LLC
• Brookhaven Dental Associates
• Brookhaven Dental Group LLC
• Brookhaven Police Department
• Brookhaven Village Dentistry
• Brookleigh Family Eyecare, Inc
• Ashley Armbruster Brooks, OT
• Keisha Renee Brooks
• Lapachus Tacorra-Samone Brooks, BS
• Shelby Broughton, ATC, OTC

• Optometrist in Brookhaven, GA
• Providers in Brookhaven, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; 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.