Atlanta Eye Associates Group LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

ATLANTA EYE ASSOCIATES GROUP LLC

Practice address

1841 Chamblee Tucker Rd Ste 1-4B
Atlanta, GA 30341-2784

Phone

(770) 409-8977

Fax

(404) 393-2672

NPI assigned

Aug 13, 2025

Last updated

Aug 13, 2025By 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

Dr. Kim Raharja, ODNPI 1720094527

Title

Owner

Phone

(770) 409-8977

Specialties & licenses 1

Addresses

Locations

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.

• Kim Chau Raharja, O.D.

  • Optometrist
  • Chamblee, GA
  • NPI 1720094527
  NPD Authorized official

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

{
    "created_epoch": "1755043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755043200000",
    "number": "1881570174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1841 CHAMBLEE TUCKER RD STE 1-4B",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303412784",
            "telephone_number": "770-409-8977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1841 CHAMBLEE TUCKER RD STE 1-4B",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303412784",
            "telephone_number": "770-409-8977",
            "fax_number": "404-393-2672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA EYE ASSOCIATES GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-13",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A",
        "authorized_official_last_name": "RAHARJA",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-409-8977",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; 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.