NPIMap

Organization Active NPI

Eye to Eye Vision Center

  • Corneal and Contact Management Optometrist
  • Marietta, GA
National Provider Identifier
1780654483
Registry record updated Dec 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
1332-T Issued in GA
Legal business name
EYE TO EYE VISION CENTER
Practice address
2255 Sewell Mill Rd
Suite 310
Marietta, GA 30062-2804
Phone
(770) 578-1900
Fax
(770) 578-6623
NPI assigned
Jan 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2008

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

Authorized official

Name
Dr. Jeffrey Glenn Jeruss, O.D.
Title
Doctor/Owner
Phone
(770) 578-1900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152WC0802X 1332-T GA Primary

Addresses

Primary practice location

2255 Sewell Mill Rd
Suite 310
Marietta, GA 30062-2804

Mailing address

2255 Sewell Mill Rd
Suite 310
Marietta, GA 30062-2804
Phone (770) 578-1900

National Provider Directory

National Provider Directory

Locations

440 Barrett Pkwy
Ste 530
Kennesaw, GA 30144
Phone (770) 429-0009

2100 Roswell Rd
Ste 100D
Marietta, GA 30062

Practitioners & affiliated clinicians

Practitioners 4

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": "1138147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228089600000",
    "number": "1780654483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 SEWELL MILL RD",
            "address_2": "SUITE 310",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300622804",
            "telephone_number": "770-578-1900",
            "fax_number": "770-578-6623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 SEWELL MILL RD",
            "address_2": "SUITE 310",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300622804",
            "telephone_number": "770-578-1900",
            "fax_number": "770-578-6623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE TO EYE VISION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-25",
        "last_updated": "2008-12-01",
        "status": "A",
        "authorized_official_last_name": "JERUSS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "GLENN",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "770-578-1900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "GA",
            "license": "1332-T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2008; 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.