Active NPI
Georgia Vision Professionals LLC
- Optometrist
- Woodstock, GA
National Provider Identifier
1801471826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- GEORGIA VISION PROFESSIONALS LLC
- Practice address
- 6435 Bells Ferry Rd
Woodstock, GA 30189-2317 - Phone
- (709) 264-8107
- Fax
- (770) 926-4826
- NPI assigned
- Mar 11, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael-Vu DO, OD
- Title
- Optometrist
- Phone
- (561) 313-8647
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
6435 Bells Ferry Rd
Woodstock, GA 30189-2317
Mailing address
2645 Carolyn Dr SE
Smyrna, GA 30080-2553
Phone (561) 313-8647
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Cartersville, GA
- NPI 1922419738
-
- Optometrist
- Duluth, GA
- NPI 1750676060
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615420800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1677110400000",
"number": "1801471826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2645 CAROLYN DR SE",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300802553",
"telephone_number": "561-313-8647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6435 BELLS FERRY RD",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301892317",
"telephone_number": "709-264-8107",
"fax_number": "770-926-4826"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GEORGIA VISION PROFESSIONALS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-11",
"last_updated": "2023-02-23",
"certification_date": "2023-02-23",
"status": "A",
"authorized_official_last_name": "DO",
"authorized_official_first_name": "MICHAEL-VU",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "561-313-8647",
"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": []
}
Other providers in Woodstock, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; 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.