NPIMap

Organization Active NPI

Joseph Optical

Doing business as Pearle Vision

  • Eyewear Supplier
  • Canton, GA
National Provider Identifier
1730510959
Registry record updated Dec 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
LDO001279 Issued in GA
Legal business name
JOSEPH OPTICAL
Doing business as
Pearle Vision
Practice address
1455 Riverstone Pkwy Suite 110
Canton, GA 30114
Phone
(770) 479-0500
Fax
(770) 720-0104
NPI assigned
Dec 13, 2013
Last updated
Dec 13, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2013

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

Authorized official

Name
Keith Bachmann, L.D.O.
Title
Owner
Phone
(770) 479-0500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X LDO001279 GA Primary

Addresses

Primary practice location

1455 Riverstone Pkwy Suite 110
Canton, GA 30114

Mailing address

1455 Riverstone Pkwy Suite 110
Canton, GA 30114
Phone (770) 479-0500

Other names 1

  • Pearle Vision Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Joseph Optical2 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.

NPI Registry JSON

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

{
    "created_epoch": "1386892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386892800000",
    "number": "1730510959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 RIVERSTONE PKWY SUITE 110",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "30114",
            "telephone_number": "770-479-0500",
            "fax_number": "770-720-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 RIVERSTONE PKWY SUITE 110",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "30114",
            "telephone_number": "770-479-0500",
            "fax_number": "770-720-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-13",
        "last_updated": "2013-12-13",
        "status": "A",
        "authorized_official_last_name": "BACHMANN",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-479-0500",
        "authorized_official_credential": "L.D.O."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "GA",
            "license": "LDO001279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearle Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2013; 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.