Summit Eye LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

SUMMIT EYE LLC

Doing business as

Stratus Eye

Practice address

5400 Laurel Springs Pkwy Ste 103
Suwanee, GA 30024-6057

Phone

(470) 403-2020

Fax

(470) 805-2020

NPI assigned

Oct 10, 2022

Last updated

Oct 10, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeffrey Tran, MDNPI 1285098533

Title

Member

Phone

(706) 877-4528

Specialties & licenses 1

Addresses

Other names 1

• Stratus Eye Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

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.

• Jeffrey Tran, M.D.

  • Ophthalmology Physician
  • Suwanee, GA
  • NPI 1285098533
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665360000000",
    "number": "1730804030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 LAUREL SPRINGS PKWY STE 103",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246057",
            "telephone_number": "470-403-2020",
            "fax_number": "470-805-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 LAUREL SPRINGS PKWY STE 103",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246057",
            "telephone_number": "470-403-2020",
            "fax_number": "470-805-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT EYE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-10",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-09",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "706-877-4528",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stratus Eye",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ophthalmology Physician in Suwanee, GA
• Providers in Suwanee, GA by specialty
• Ophthalmology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.