NPIMap

Organization Active NPI

Kims Eyeland Optical, Inc.

  • Health Service Clinic/Center
  • Duluth, GA
National Provider Identifier
1871767129
Registry record updated Apr 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
LDO1889 Issued in GA
Legal business name
KIMS EYELAND OPTICAL, INC.
Practice address
3751 Satellite Blvd
Suite 200
Duluth, GA 30096-8840
Phone
(678) 473-0911
Fax
(678) 473-9100
NPI assigned
Apr 17, 2008
Organization subpart
Yes
Parent organization
KIMS EYELAND OPTICAL, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 17, 2008

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

Authorized official

Name
Mr. Choon K Kim
Title
President
Phone
(678) 473-0911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X LDO1889 GA Primary

Addresses

Primary practice location

3751 Satellite Blvd
Suite 200
Duluth, GA 30096-8840

Mailing address

3751 Satellite Blvd
Suite 200
Duluth, GA 30096-8840
Phone (678) 473-0911

Other names 1

  • EYELAND OPTICAL, INC. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kim'S Eyeland Optical Inc2 organizations share this tax ID, including this one
Part of
Kim'S Eyeland Optical Inc

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208390400000",
    "number": "1871767129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3751 SATELLITE BLVD",
            "address_2": "SUITE 200",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300968840",
            "telephone_number": "678-473-0911",
            "fax_number": "678-473-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3751 SATELLITE BLVD",
            "address_2": "SUITE 200",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300968840",
            "telephone_number": "678-473-0911",
            "fax_number": "678-473-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMS EYELAND OPTICAL, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KIMS EYELAND OPTICAL, INC.",
        "enumeration_date": "2008-04-17",
        "last_updated": "2008-04-17",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "CHOON",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-473-0911",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "GA",
            "license": "LDO1889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EYELAND OPTICAL, INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; 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.