Organization Active NPI

Visionary Eyecare of Atlanta, LLC

  • Optometrist
  • Atlanta, GA
National Provider Identifier
1881383024
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
VISIONARY EYECARE OF ATLANTA, LLC
Practice address
2311 Cascade Rd SW
Atlanta, GA 30311-3201
Phone
(404) 549-9996
Fax
(404) 829-1368
NPI assigned
May 3, 2023
Organization subpart
Yes
Parent organization
VISIONARY EYECARE OF ATLANTA, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 3, 2023

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

Authorized official

Name
Dr. Andrew Henry Williams, ODNPI 1932445202
Title
Owner
Phone
(301) 399-0716

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

2311 Cascade Rd SW
Atlanta, GA 30311-3201

Mailing address

2311 Cascade Rd SW
Atlanta, GA 30311-3201
Phone (404) 549-9996

Other practice location 1

4798 Jimmy Lee Smith Pkwy
Hiram, GA 30141-2729
Phone (301) 399-0716

Other names 1

  • VEA Eye Health Professionals Doing business as

National Provider Directory

National Provider Directory
Part of
Visionary Eyecare of Atlanta LLC

Locations

2311 Cascade Rd SW
Atlanta, GA 30311
Phone (301) 399-0716

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1683072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683072000000",
    "number": "1881383024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 CASCADE RD SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303113201",
            "telephone_number": "404-549-9996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 CASCADE RD SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303113201",
            "telephone_number": "404-549-9996",
            "fax_number": "404-829-1368"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4798 Jimmy Lee Smith Pkwy",
            "address_purpose": "LOCATION",
            "city": "Hiram",
            "state": "GA",
            "postal_code": "301412729",
            "country_code": "US",
            "telephone_number": "301-399-0716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VISIONARY EYECARE OF ATLANTA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VISIONARY EYECARE OF ATLANTA, LLC",
        "enumeration_date": "2023-05-03",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-399-0716",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VEA Eye Health Professionals",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; 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.