Bella Vista Family Eyecare

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT002269 Issued in GA

Legal business name

BELLA VISTA FAMILY EYECARE

Practice address

1100 Thornton Rd
Lithia Springs, GA 30122-2616

Phone

(770) 819-4981

Fax

(770) 819-9039

NPI assigned

Oct 27, 2009

Last updated

Oct 27, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Samantha Mills, O.D.

Title

Owner/Optometrist

Phone

(770) 819-4981

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1256601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256601600000",
    "number": "1861728800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3142 BRIANS CREEK DR SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300136437",
            "telephone_number": "770-819-4981",
            "fax_number": "770-819-9039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 THORNTON RD",
            "city": "LITHIA SPRINGS",
            "state": "GA",
            "postal_code": "301222616",
            "telephone_number": "770-819-4981",
            "fax_number": "770-819-9039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLA VISTA FAMILY EYECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-27",
        "last_updated": "2009-10-27",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "770-819-4981",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4189",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Lithia Springs, GA
• Providers in Lithia Springs, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2009; 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.