The Optical Center PC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

THE OPTICAL CENTER PC

Practice address

6945 Deer Creek Trce
Stone Mountain, GA 30087-5477

Phone

(404) 918-1916

Fax

(678) 267-2865

NPI assigned

May 21, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Jeffrey Burnett Sr., LDONPI 1629287214

Title

Optician

Phone

(404) 918-1916

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Jeffrey Burnett Sr., LDO

  • Optician
  • Stone Mountain, GA
  • NPI 1629287214
  NPD (past) Authorized official

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272931200000",
    "number": "1861601452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6945 DEER CREEK TRCE",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300875477",
            "telephone_number": "404-918-1916",
            "fax_number": "678-267-2865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6945 DEER CREEK TRCE",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300875477",
            "telephone_number": "404-918-1916",
            "fax_number": "678-267-2865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE OPTICAL CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2010-05-04",
        "status": "A",
        "authorized_official_last_name": "BURNETT",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OPTICIAN",
        "authorized_official_telephone_number": "404-918-1916",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "LDO"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Eyewear Supplier in Stone Mountain, GA
• Providers in Stone Mountain, GA by specialty
• Eyewear Supplier in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.