NPIMap

Thomas Eye Group PC

Organization Active NPI Optometrist · Kennesaw, GA

NPI 1831855337 · NPPES record last updated Feb 29, 2024

Key facts

NPI
1831855337
Entity type
Organization (NPI type 2)
Primary specialty
Optometrist 152W00000X
Legal business name
THOMAS EYE GROUP PC
Practice address
600 Chastain Rd NW Ste 312
Kennesaw, GA 30144-3047
Phone
(770) 428-8090
Fax
(770) 428-8159
NPI assigned
Nov 10, 2021
Organization subpart
No

Authorized official

Name
Paul L Kaufman
Title
Director
Phone
(678) 892-2020

Other NPIs on the same Medicare enrollment 27

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 27

Corporate family (same tax ID) 17

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in GA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
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…

National Provider Directory

Tax ID family
Thomas Eye Group Atlant (18 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist
Group: 193200000X MULTI-SPECIALTY GROUP		 152W00000X Yes
Ophthalmology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207W00000X

Addresses

Primary practice location

600 Chastain Rd NW Ste 312
Kennesaw, GA 30144-3047

Mailing address

5901 Peachtree Dunwoody Rd Ste A500
Atlanta, GA 30328-7162

Other names

  • Thomas Eye Group Doing business as

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address plkaufman@teg.emadirect.md

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 29, 2024.

{
    "created_epoch": "1636502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709164800000",
    "number": "1831855337",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 CHASTAIN RD NW STE 312",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301443047",
            "telephone_number": "770-428-8090",
            "fax_number": "770-428-8159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS EYE GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-10",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A",
        "authorized_official_last_name": "KAUFMAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "678-892-2020"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "plkaufman@teg.emadirect.md",
            "affiliation": "N",
            "address_1": "2700 Town Center Dr NW Ste 100",
            "city": "Kennesaw",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301446911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Thomas Eye Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Thomas Eye Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kennesaw, GA

All providers in Kennesaw, GA · Optometrist in Georgia

Sources for this page

Verify at the official NPI Registry.