Precision Eyecare, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1384 Issued in GA

Legal business name

PRECISION EYECARE, LLC

Practice address

250 E Crossville Road
Roswell, GA 30075

Phone

(770) 993-5592

Fax

(770) 993-5595

NPI assigned

Oct 10, 2008

Organization subpart

Yes

Parent organization

PRECISION EYECARE, LLCAs reported in NPPES

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

Authorized official

Name

Dr. Edward Joseph Furey

Title

Owner

Phone

(770) 993-5592

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Precision Eyecare LLC2 organizations share this tax ID, including this one

Part of

Precision Eyecare LLC

Other organizations with this tax ID 1

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

• Precision Eyecare LLC

  • Optometrist
  • Canton, GA
  • NPI 1285892935
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Precision Eyecare LLC

  • Optometrist
  • Canton, GA
  • NPI 1285892935
  NPPES parent name

Practitioners 2

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

• Jeffrey Ralph Mellom, OD

  • Optometrist
  • Atlanta, GA
  • NPI 1588792816
  NPD (past)
• Anthony Dylan Reach, O.D.

  • Optometrist
  • Acworth, GA
  • NPI 1609901479
  NPD (past)

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

{
    "created_epoch": "1223596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269907200000",
    "number": "1871745604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 E CROSSVILLE RD",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "30075",
            "telephone_number": "770-993-5592",
            "fax_number": "770-993-5595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 E CROSSVILLE ROAD",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "30075",
            "telephone_number": "770-993-5592",
            "fax_number": "770-993-5595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION EYECARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRECISION EYECARE, LLC",
        "enumeration_date": "2008-10-10",
        "last_updated": "2010-03-30",
        "status": "A",
        "authorized_official_last_name": "FUREY",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-993-5592",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "1384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP #",
            "identifier": "GRP 4996",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.