Organization Active NPI

First Class Eye Care, LLC

Doing business as First Class Eye Care

  • Optometrist
  • Duluth, GA
National Provider Identifier
1831703289
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
FIRST CLASS EYE CARE, LLC
Doing business as
First Class Eye Care
Practice address
2730 Peachtree Industrial Blvd Ste 206
Duluth, GA 30097-8628
Phone
(404) 793-3937
Fax
(404) 793-4040
NPI assigned
Sep 3, 2020
Last updated
Apr 20, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

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

Authorized official

Name
Dr. Robert Adam YoungNPI 1366857807
Title
Owner / Optometrist
Phone
(404) 793-3937

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

2730 Peachtree Industrial Blvd Ste 206
Duluth, GA 30097-8628

Mailing address

2730 Peachtree Industrial Blvd Ste 206
Duluth, GA 30097-8628
Phone (404) 793-3937

Other names 1

  • First Class Eye Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201014000280 GA Part B Supplier - Clinic/Group Practice 0547680597 Receives reassigned benefits from 2 practitioners
Practice locations: Duluth, GA

National Provider Directory

National Provider Directory

Locations

2730 Peachtree Industrial Blvd
Ste 101
Duluth, GA 30097
Phone (404) 548-8850

2730 Peachtree Industrial Blvd
Ste 206
Duluth, GA 30097
Phone (404) 721-3268

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1599091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618876800000",
    "number": "1831703289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 PEACHTREE INDUSTRIAL BLVD STE 206",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300978628",
            "telephone_number": "404-793-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 PEACHTREE INDUSTRIAL BLVD STE 206",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300978628",
            "telephone_number": "404-793-3937",
            "fax_number": "404-793-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CLASS EYE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-03",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "OWNER / OPTOMETRIST",
        "authorized_official_telephone_number": "404-793-3937",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Class Eye Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "First Class Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; 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.