Windermere Optique LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

WINDERMERE OPTIQUE LLC

Practice address

3130 Mathis Airport Pkwy Ste 308
Suwanee, GA 30024-9132

Phone

(770) 574-6090

NPI assigned

Nov 25, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Loan Vo Unsworth, ODNPI 1386846293

Title

Optometrist

Phone

(770) 574-6090

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

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.

• Loan Vo Unsworth, O.D.

  • Optometrist
  • Suwanee, GA
  • NPI 1386846293
  Medicare reassignment Care Compare group NPD Authorized official
• Nutan Desai, O.D.

  • Optometrist
  • Suwanee, GA
  • NPI 1205955481
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1574640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587254400000",
    "number": "1770129637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1788 SCOUTS WALK",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300197817",
            "telephone_number": "770-380-3501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 MATHIS AIRPORT PKWY STE 308",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300249132",
            "telephone_number": "770-574-6090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDERMERE OPTIQUE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-25",
        "last_updated": "2020-04-19",
        "certification_date": "2020-04-19",
        "status": "A",
        "authorized_official_last_name": "UNSWORTH",
        "authorized_official_first_name": "LOAN",
        "authorized_official_middle_name": "VO",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "770-574-6090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Turkessa Lashelle Williams
• William Blount Willimas, DMD
• Bryant D Wilson, RBT
• Charlene Wilson, RDN, LD
• Courtney Ann Wilson, PA
• Windermere Orthodontics LLC
• Kimberly Ann Winn, ATC
• Amira Winston, RBT
• Laura Winters, SLP-CCC
• Dana Wohlhart

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.