East Point Eye Clinic PC

Primary specialty

Ophthalmic Technician/TechnologistTaxonomy code 156FX1100X

License

45207 Issued in GA

Legal business name

EAST POINT EYE CLINIC PC

Practice address

3600 Marketplace Blvd
East Point, GA 30344-8129

Phone

(404) 346-2020

Fax

(404) 346-2026

NPI assigned

Jul 8, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Ingrid A Ellison, M.D.

Title

Ophthalmology

Phone

(404) 346-2020

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1801059175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3995 RANDALL MILL RD NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303273101",
            "telephone_number": "404-346-2020",
            "fax_number": "404-346-2026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 MARKETPLACE BLVD",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303448129",
            "telephone_number": "404-346-2020",
            "fax_number": "404-346-2026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST POINT EYE CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-08",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "ELLISON",
        "authorized_official_first_name": "INGRID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OPHTHALMOLOGY",
        "authorized_official_telephone_number": "404-346-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "156FX1100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Ophthalmic",
            "state": "GA",
            "license": "45207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmic Technician/Technologist in East Point, GA
• Providers in East Point, GA by specialty
• Ophthalmic Technician/Technologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.