NPIMap

Organization Active NPI

Ptcec PC

  • Optometrist
  • Peachtree City, GA
National Provider Identifier
1740652148
Registry record updated Nov 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT002652 Issued in GA
Legal business name
PTCEC PC
Practice address
100 N Peachtree Pkwy Ste 1
Peachtree City, GA 30269-1744
Phone
(770) 487-8900
Fax
(770) 487-4118
NPI assigned
Oct 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2015

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

Authorized official

Name
Punit BhaktaNPI 1134405046
Title
Ceo
Phone
(770) 487-8900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPT002652 GA Primary

Addresses

Primary practice location

100 N Peachtree Pkwy Ste 1
Peachtree City, GA 30269-1744

Mailing address

100 N Peachtree Pkwy Ste 1
Peachtree City, GA 30269-1744
Phone (770) 487-8900

Other names 1

  • Peachtree City Eye Center Doing business as

National Provider Directory

National Provider Directory

Locations

100 N Peachtree Pkwy
Ste 1
Peachtree Cty, GA 30269
Phone (770) 487-8900

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1445644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446422400000",
    "number": "1740652148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N PEACHTREE PKWY STE 1",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691744",
            "telephone_number": "770-487-8900",
            "fax_number": "770-487-4118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N PEACHTREE PKWY STE 1",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691744",
            "telephone_number": "770-487-8900",
            "fax_number": "770-487-4118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PTCEC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-24",
        "last_updated": "2015-11-02",
        "status": "A",
        "authorized_official_last_name": "BHAKTA",
        "authorized_official_first_name": "PUNIT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-487-8900"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peachtree City Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Peachtree City, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2015; 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.