Elevated Eye Care Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

ELEVATED EYE CARE INC

Practice address

917 Jonesboro Rd Ste a
McDonough, GA 30253-6031

Phone

(770) 914-3399

Fax

(770) 914-3334

NPI assigned

Oct 28, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Santrell Hart-Moreland, O.D.NPI 1376613968

Title

President

Phone

(770) 914-3399

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 2

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

• Santrell Denise Hart-Moreland, O.D.,M.P.H.

  • Optometrist
  • Ellenwood, GA
  • NPI 1376613968
  Medicare reassignment NPD Authorized official
• Ayana C Robateau, OD

  • Optometrist
  • Atlanta, GA
  • NPI 1114180155
  Medicare reassignment NPD

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655164800000",
    "number": "1730332370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 JONESBORO RD STE A",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302536031",
            "telephone_number": "770-914-3399",
            "fax_number": "770-914-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 JONESBORO RD STE A",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302536031",
            "telephone_number": "770-914-3399",
            "fax_number": "770-914-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATED EYE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A",
        "authorized_official_last_name": "HART-MORELAND",
        "authorized_official_first_name": "SANTRELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-914-3399",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "GA",
            "license": "1761",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick A Egbe, M.D.
• Paul Egbe
• Margaret Eisele-Lazor, PTA
• Purelily Mfonma Ekpo
• Tanga Elam
• Elite IV Hydration and Wellness
• Elite Providers Personal Care Services, LLC
• Amy G Elrod, PTA
• Deborah Elzea, M.ED., LPC, CAC
• Embodied Therapy Services, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.

Verify at the official NPI Registry.