Dorfzaun Eye Group,L.L.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

GA754 Issued in GA

Legal business name

DORFZAUN EYE GROUP,L.L.C.

Practice address

850 Old Piedmont Rd
Marietta, GA 30066-5490

Phone

(770) 422-3677

Fax

(770) 422-5814

NPI assigned

Nov 5, 2013

Last updated

Aug 11, 2015By 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

Sander S Dorfzaun, O.D.NPI 1699804120

Title

Owner/Optometrist

Phone

(770) 422-3677

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

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.

• Sander Sol Dorfzaun, O.D.

  • Optometrist
  • Marietta, GA
  • NPI 1699804120
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1383609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439251200000",
    "number": "1871922385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 OLD PIEDMONT RD",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300665490",
            "telephone_number": "770-422-3677",
            "fax_number": "770-422-5814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 OLD PIEDMONT RD",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300665490",
            "telephone_number": "770-422-3677",
            "fax_number": "770-422-5814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DORFZAUN EYE GROUP,L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-05",
        "last_updated": "2015-08-11",
        "status": "A",
        "authorized_official_last_name": "DORFZAUN",
        "authorized_official_first_name": "SANDER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "770-422-3677",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "GA754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John William Donnelly, M.D.
• Lisa Donohue, OTR/L
• Mary Wolfe Doornbos, DMD
• Kevin James Doran, DDS
• Barbara Sainte Dorcely, REGISTERED NURSE
• Sander Sol Dorfzaun, O.D.
• John Marvin Doris, D.D.S.
• Gwendolyn Barron Dorman, MSPT
• Samin Dorri, DMD
• Jayli Dorsey

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.