Active NPI
Allatoona Eye Institute PC
Doing business as Allatoona Eye Clinic
- Ophthalmology Physician
- Cartersville, GA
National Provider Identifier
1740338185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- ALLATOONA EYE INSTITUTE PC
- Doing business as
- Allatoona Eye Clinic
- Practice address
- 962 Joe Frank Harris Pkwy SE
Suite 201
Cartersville, GA 30120-2154 - Phone
- (770) 382-3598
- NPI assigned
- Jan 8, 2007
- Last updated
- May 13, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kim Smith
- Title
- Administrator
- Phone
- (770) 382-3598
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | NU | Primary |
Addresses
Primary practice location
962 Joe Frank Harris Pkwy SE
Suite 201
Cartersville, GA 30120-2154
Mailing address
962 Joe Frank Harris Pkwy SE
Suite 201
Cartersville, GA 30120-2154
Phone (770) 382-3598
Other names 1
- Allatoona Eye Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
962 Joe Frank Harris Pkwy SE
Ste 201
Cartersville, GA 30120
Phone (770) 382-3598
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Ophthalmology Physician
- Cartersville, GA
- NPI 1194718999
-
- Ophthalmology Physician
- Cartersville, GA
- NPI 1285627083
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210636800000",
"number": "1740338185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "962 JOE FRANK HARRIS PKWY SE",
"address_2": "SUITE 201",
"city": "CARTERSVILLE",
"state": "GA",
"postal_code": "301202154",
"telephone_number": "770-382-3598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "962 JOE FRANK HARRIS PKWY SE",
"address_2": "SUITE 201",
"city": "CARTERSVILLE",
"state": "GA",
"postal_code": "301202154",
"telephone_number": "770-382-3598"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLATOONA EYE INSTITUTE PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-08",
"last_updated": "2008-05-13",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "KIM",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "770-382-3598"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Allatoona Eye Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cartersville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; 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.