The Eyecare Place LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT001522 Issued in GA

Legal business name

THE EYECARE PLACE LLC

Practice address

42 Old Jackson Rd
McDonough, GA 30252-3029

Phone

(678) 782-7952

Fax

(678) 782-7954

NPI assigned

May 26, 2015

Organization subpart

No

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

Authorized official

Name

Chhaya Sei, LDONPI 1447639604

Title

Ceo/Manager

Phone

(678) 782-7952

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 3

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

• Stacey V Wilmot-Bray, O.D

  • Optometrist
  • Chatham, VA
  • NPI 1235391459

  GA

  Medicare reassignment NPD
• Chhaya Sei, LDO

  • Optician
  • McDonough, GA
  • NPI 1447639604
  NPD (past) Authorized official
• Kimberley Jedding, DPT, CEAS

  • Physical Therapist
  • Stockbridge, GA
  • NPI 1285713537
  NPD (past)

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

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432598400000",
    "number": "1861871725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 OLD JACKSON RD",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302523029",
            "telephone_number": "678-782-7952",
            "fax_number": "678-782-7954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 OLD JACKSON RD",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302523029",
            "telephone_number": "678-782-7952",
            "fax_number": "678-782-7954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EYECARE PLACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-26",
        "last_updated": "2015-05-26",
        "status": "A",
        "authorized_official_last_name": "SEI",
        "authorized_official_first_name": "CHHAYA",
        "authorized_official_title_or_position": "CEO/MANAGER",
        "authorized_official_telephone_number": "678-782-7952",
        "authorized_official_credential": "LDO"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT001522",
            "primary": true
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "GA",
            "license": "LDO002144",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lane Dianne Thaxton, PTA
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• The Denture Place at McDonough
• The Doctor'S Office, LLC
• The Family Health Centers of Georgia, Inc
• The Harmony Home of Kitchens Road, LLC
• The Invisible Counselor, LLC
• The Kroger Co
• The Kroger Co

• Optometrist in McDonough, GA
• Providers in McDonough, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; 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.