Organization Active NPI

Buckhead Vision Inc

  • Optometrist
  • Atlanta, GA
National Provider Identifier
1902190739
Registry record updated Jun 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
BUCKHEAD VISION INC
Practice address
2900 Peachtree Rd NW
Suite 301
Atlanta, GA 30305-4915
Phone
(404) 869-5551
Fax
(404) 869-5181
NPI assigned
Jun 9, 2011
Last updated
Jun 9, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2011

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

Authorized official

Name
Dr. Jae Choi
Title
V.P.
Phone
(404) 869-5551

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary
Corneal and Contact Management Optometrist 152WC0802X NU

Addresses

Primary practice location

2900 Peachtree Rd NW
Suite 301
Atlanta, GA 30305-4915

Mailing address

4746 Legacy Cove LN
Mableton, GA 30126-2579
Phone (770) 438-0202

National Provider Directory

National Provider Directory

Locations

2900 Peachtree Rd NW
Ste 301
Atlanta, GA 30305
Phone (404) 869-5551

NPI Registry JSON

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

{
    "created_epoch": "1307577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307577600000",
    "number": "1902190739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4746 LEGACY COVE LN",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301262579",
            "telephone_number": "770-438-0202",
            "fax_number": "770-438-5033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 PEACHTREE RD NW",
            "address_2": "SUITE 301",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303054915",
            "telephone_number": "404-869-5551",
            "fax_number": "404-869-5181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKHEAD VISION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-09",
        "last_updated": "2011-06-09",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "JAE",
        "authorized_official_title_or_position": "V.P.",
        "authorized_official_telephone_number": "404-869-5551",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 9, 2011; 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.