Individual provider Active NPI

Michael E. Richards, O.D.

  • Optometrist
  • Douglasville, GA
National Provider Identifier
1932276649
Registry record updated Nov 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1088 Issued in GA
Practice address
9395 The Landing Dr
H-200
Douglasville, GA 30135-7137
Phone
(770) 739-2768
Fax
(770) 819-6946
NPI assigned
Nov 29, 2006
Last updated
Nov 2, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1088 GA Primary

Addresses

Primary practice location

9395 The Landing Dr
H-200
Douglasville, GA 30135-7137

Mailing address

9395 The Landing Dr
H-200
Douglasville, GA 30135-7137
Phone (770) 739-2768

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051118000462 GA Practitioner - Optometry 7517986078 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1088GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas Eye Group PC Optometrist CurrentSince Dec 1, 2021 Accepting new patients
Thomas Eye Group PC Optometrist CurrentSince Dec 1, 2021 Accepting new patients
Thomas Eye Group PC Optometrist Current Accepting new patients
Richards Family Eyecare LLC Optometrist Current Accepting new patients

Locations

4480 Chamblee Dunwoody Rd
#A
Dunwoody, GA 30338
Phone (770) 392-0154

1544 Southlake Pkwy
Ste 9B
Morrow, GA 30260
Phone (770) 394-2110

11690 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 475-5515

5995 Barfield Rd
Sandy Springs, GA 30328
Phone (404) 256-1507

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320192000000",
    "number": "1932276649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9395 THE LANDING DR",
            "address_2": "H-200",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301357137",
            "telephone_number": "770-739-2768",
            "fax_number": "770-819-6946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9395 THE LANDING DR",
            "address_2": "H-200",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301357137",
            "telephone_number": "770-739-2768",
            "fax_number": "770-819-6946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "MICHAEL",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2011-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "1088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglasville, GA

Sources for this page

Verify at the official NPI Registry.