Sugarloaf Eyecare, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT001764 Issued in GA

Legal business name

SUGARLOAF EYECARE, INC.

Practice address

6555 Sugarloaf Pkwy
Suite 303
Duluth, GA 30097-4930

Phone

(770) 495-0937

Fax

(678) 417-6000

NPI assigned

May 3, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Joni L. Reddy

Title

Owner

Phone

(770) 495-0937

Specialties & licenses 1

Addresses

Other names 1

• Sugarloaf Eyecare Doing business as

Locations

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238544000000",
    "number": "1881652196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6555 SUGARLOAF PKWY",
            "address_2": "SUITE 303",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300974930",
            "telephone_number": "770-495-0937",
            "fax_number": "678-417-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6555 SUGARLOAF PKWY",
            "address_2": "SUITE 303",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300974930",
            "telephone_number": "770-495-0937",
            "fax_number": "678-417-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUGARLOAF EYECARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2009-04-01",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "JONI",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-495-0937",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT001764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sugarloaf Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2009; 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.