Active NPI
Thomas Eye Group PC
- Ophthalmology Physician
- Atlanta, GA
National Provider Identifier
1821589441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- THOMAS EYE GROUP PC
- Practice address
- 1110 W Peachtree St NW Ste 860
Atlanta, GA 30309-3609 - Phone
- (678) 892-2020
- Fax
- (678) 538-1950
- NPI assigned
- May 21, 2018
- Organization subpart
- Yes
- Parent organization
- THOMAS EYE GROUP PC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dana J Wallace, MD
- Title
- Director
- Phone
- (678) 892-2020
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
1110 W Peachtree St NW Ste 860
Atlanta, GA 30309-3609
Mailing address
5901 Peachtree Dunwoody Rd Ste A500
Atlanta, GA 30328-7162
Phone (678) 892-2020
Other names 1
- Thomas Eye Group
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040405000273 | GA | Part B Supplier - Clinic/Group Practice | 2567455868 |
Receives reassigned benefits from 66 practitioners 28 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Morrow, GA; Peachtree City, GA; Roswell, GA; Sandy Springs, GA; Smyrna, GA; Stone Mountain, GA; Suwanee, GA; Woodstock, GA… |
Other NPIs on the same Medicare enrollment 27
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Part of
- Thomas Eye Group Atlant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526860800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1526860800000",
"number": "1821589441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5901 PEACHTREE DUNWOODY RD STE A500",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303287162",
"telephone_number": "678-892-2020",
"fax_number": "678-538-1950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 W PEACHTREE ST NW STE 860",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303093609",
"telephone_number": "678-892-2020",
"fax_number": "678-538-1950"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THOMAS EYE GROUP PC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "THOMAS EYE GROUP PC",
"enumeration_date": "2018-05-21",
"last_updated": "2018-05-21",
"status": "A",
"authorized_official_last_name": "WALLACE",
"authorized_official_first_name": "DANA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "678-892-2020",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Thomas Eye Group",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2018; 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.