Lithonia Family Eye Care LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT002176 Issued in GA

Legal business name

LITHONIA FAMILY EYE CARE LLC

Practice address

5401 Fairington Rd
Lithonia, GA 30038-5113

Phone

(770) 808-2772

Fax

(770) 808-2787

NPI assigned

Aug 9, 2007

Last updated

Sep 9, 2016By 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

Dr. Andre Terrell LenoirNPI 1417008327

Title

Owner

Phone

(901) 219-3989

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Andre Terrell Lenoir, O.D

  • Optometrist
  • East Point, GA
  • NPI 1417008327
  Medicare reassignment NPD Authorized official
• Darrell Lawrence Brautigam, O.D.

  • Optometrist
  • Morrow, GA
  • NPI 1467454272
  NPD (past)

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473379200000",
    "number": "1780875179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 FAIRINGTON RD",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300385113",
            "telephone_number": "770-961-2020",
            "fax_number": "770-808-2787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 FAIRINGTON RD",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300385113",
            "telephone_number": "770-808-2772",
            "fax_number": "770-808-2787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITHONIA FAMILY EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-09",
        "last_updated": "2016-09-09",
        "status": "A",
        "authorized_official_last_name": "LENOIR",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_middle_name": "TERRELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-219-3989",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "691118107A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Life Changing Missions LLC
• Gayle M Lindsay, OTR/L
• Janice Lindsay
• Lithonia Accident Care
• Lithonia Behavioral Health Inc
• Lithonia Pediatric Dentistry-Stonecrest Inc
• Lithonia Restorative and Cosmetic Dental Center
• Lithonia Woundcare Center
• Lithonia-Rockdale Dialysis, LLC (Renal Care Group Lithonia)
• Little Love Healthcare Services LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; 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.