Woodstock Eye Associates LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

WOODSTOCK EYE ASSOCIATES LLC

Practice address

113 Lincoln St
Woodstock, GA 30188-7800

Phone

(770) 694-7208

Fax

(678) 426-8783

NPI assigned

Aug 7, 2020

Last updated

Aug 7, 2020By 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

Anchita S Dalal, ODNPI 1114369444

Title

Optometrist/President

Phone

(770) 694-7208

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 2

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.

• Anchita S Dalal, OD

  • Optometrist
  • Woodstock, GA
  • NPI 1114369444
  Medicare reassignment Care Compare group NPD Authorized official
• Neville Kersi Dalal, O.D.

  • Optometrist
  • Woodstock, GA
  • NPI 1003171349
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1596758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596758400000",
    "number": "1740890284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1058 PIEDMONT AVE NE APT 403",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303093749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 LINCOLN ST",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301887800",
            "telephone_number": "770-694-7208",
            "fax_number": "678-426-8783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODSTOCK EYE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-07",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A",
        "authorized_official_last_name": "DALAL",
        "authorized_official_first_name": "ANCHITA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OPTOMETRIST/PRESIDENT",
        "authorized_official_telephone_number": "770-694-7208",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Woodstock Dentist LLC
• Woodstock Dentistry, PC
• Woodstock Dermatolgy, PC
• Woodstock Endoscopy Center
• Woodstock Estates
• Woodstock Eyesite Inc (Pearle Vision)
• Woodstock Family Practice and Urgent Care
• Woodstock Optometry, P.C.
• Woodstock Pain Relief LLC
• Woodstock Pain Solutions, PC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2020; 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.