Individual provider Active NPI

Amy Chiu, O.D.

  • Optometrist
  • Cartersville, GA
National Provider Identifier
1831214782
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT 2018 Issued in GA
Practice address
239 Market Place Blvd
Cartersville, GA 30121-2235
Phone
(770) 607-1449
Fax
(770) 607-1408
NPI assigned
Mar 20, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT 2018 GA Primary

Addresses

Primary practice location

239 Market Place Blvd
Cartersville, GA 30121-2235

Mailing address

PO Box 4072
Cartersville, GA 30120-1718
Phone (770) 382-9423

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240820000268 GA Practitioner - Optometry 9335687532 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2002
Medicare assignment
May accept Medicare assignment
Group practices
Family First Vision Care GeorgiaGroup PAC ID 3173934981, 8 clinicians

Practice addresses (Care Compare)

1401 Johnson Ferry Rd
Suite 148B
Marietta, GA 30062-6499
Phone (770) 977-1835

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT 2018GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family First Vision Care Georgia Optometrist CurrentSince Apr 22, 2024 Accepting new patients
Family First Vision Care Georgia PLLC Optometrist Past Accepting new patients
Family First Vision Care Georgia Optometrist Past Accepting new patients
Family First Vision Care Georgia PLLC Optometrist Past Accepting new patients
Family First Vision Care Georgia Optometrist Past Accepting new patients
Family First Vision Care Georgia Optometrist Past Accepting new patients

Locations

1455 Riverstone Pkwy
Ste 110
Canton, GA 30114
Phone (770) 479-0500

239 Market Place Blvd
Cartersville, GA 30121
Phone (770) 607-1448

890 Dawsonville Hwy
Ste A
Gainesville, GA 30501
Phone (770) 532-2176

1401 Johnson Ferry Rd
Ste 148B
Marietta, GA 30062
Phone (770) 509-8480

10775 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 998-0331

316 S Hamilton Rd
Gahanna, OH 43230

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831214782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4072",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301201718",
            "telephone_number": "770-382-9423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 MARKET PLACE BLVD",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301212235",
            "telephone_number": "770-607-1449",
            "fax_number": "770-607-1408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIU",
        "first_name": "AMY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT 2018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cartersville, GA

Sources for this page

Verify at the official NPI Registry.