Active NPI
Anthony G Guerrero, O.D
- Optometrist
- Cumming, GA
National Provider Identifier
1760804538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT001386
- Practice address
- 1500 Market Place Blvd.
Cumming, GA 30041 - Phone
- (770) 888-2323
- NPI assigned
- Jan 14, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT001386 | GA | Primary |
Addresses
Primary practice location
1500 Market Place Blvd.
Cumming, GA 30041
Mailing address
101 Spalding TRL.
Sandy Springs, GA 30324
Phone (404) 573-8730
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT001386 | GA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389657600000",
"number": "1760804538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 SPALDING TRL.",
"city": "SANDY SPRINGS",
"state": "GA",
"postal_code": "30324",
"telephone_number": "404-573-8730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 MARKET PLACE BLVD.",
"city": "CUMMING",
"state": "GA",
"postal_code": "30041",
"telephone_number": "770-888-2323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUERRERO",
"first_name": "ANTHONY",
"middle_name": "G",
"name_prefix": "Mr.",
"credential": "O.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-01-14",
"last_updated": "2014-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "OPT001386",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cumming, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.