Organization Active NPI

Vision One Inc

  • Optometrist
  • Acworth, GA
National Provider Identifier
1932233657
Registry record updated Aug 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2007#56427 Issued in GA
Legal business name
VISION ONE INC
Practice address
1727 Mars Hill Rd NW
Suite 15
Acworth, GA 30101-8090
Phone
(770) 499-2005
Fax
(770) 426-8303
NPI assigned
Mar 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2012

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

Authorized official

Name
Mrs. Nikima S Robinson
Title
Insurance Manager
Phone
(770) 499-2005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 2007#56427 GA Primary

Addresses

Primary practice location

1727 Mars Hill Rd NW
Suite 15
Acworth, GA 30101-8090

Mailing address

1727 Mars Hill Rd NW
Suite 15
Acworth, GA 30101-8090
Phone (770) 499-2005

Other names 1

  • Total Eye Care Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040507000237 GA Part B Supplier - Clinic/Group Practice 3779572631 Receives reassigned benefits from 2 practitioners
Practice locations: Acworth, GA

National Provider Directory

National Provider Directory

Locations

1727 Mars Hill Rd NW
Ste 415
Acworth, GA 30101
Phone (770) 499-2005

1727 Mars Hill Rd NW
Acworth, GA 30101
Phone (770) 218-2426

Practitioners & affiliated clinicians

Practitioners 4

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": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344816000000",
    "number": "1932233657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1727 MARS HILL RD NW",
            "address_2": "SUITE 15",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301018090",
            "telephone_number": "770-499-2005",
            "fax_number": "770-426-8303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1727 MARS HILL RD NW",
            "address_2": "SUITE 15",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301018090",
            "telephone_number": "770-499-2005",
            "fax_number": "770-426-8303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION ONE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2012-08-13",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "NIKIMA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "INSURANCE MANAGER",
        "authorized_official_telephone_number": "770-499-2005",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "2007#56427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Total Eye Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Acworth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; 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.