Organization Active NPI

Bethelview Eyecare Inc

  • Optometrist
  • Cumming, GA
National Provider Identifier
1932382942
Registry record updated Aug 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1644 Issued in GA
Legal business name
BETHELVIEW EYECARE INC
Practice address
5485 Bethelview Rd
Suite 320
Cumming, GA 30040-9735
Phone
(678) 513-8686
Fax
(678) 455-1944
NPI assigned
Dec 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2013

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

Authorized official

Name
Robert F Gigliotti, O.D.NPI 1306946496
Title
Owner/Optometrist
Phone
(678) 513-8686

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1644 GA Primary

Addresses

Primary practice location

5485 Bethelview Rd
Suite 320
Cumming, GA 30040-9735

Mailing address

5485 Bethelview Rd
Suite 320
Cumming, GA 30040-9735
Phone (678) 513-8686

Other identifiers 1

IdentifierTypeStateIssuer
202G708166OtherGAPTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130529000806 GA Part B Supplier - Clinic/Group Practice 6204074487 Receives reassigned benefits from 1 practitioner
Practice locations: Cummings, GA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375920000000",
    "number": "1932382942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5485 BETHELVIEW RD",
            "address_2": "SUITE 320",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300409735",
            "telephone_number": "678-513-8686",
            "fax_number": "678-455-1944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5485 BETHELVIEW RD",
            "address_2": "SUITE 320",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300409735",
            "telephone_number": "678-513-8686",
            "fax_number": "678-455-1944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHELVIEW EYECARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2013-08-08",
        "status": "A",
        "authorized_official_last_name": "GIGLIOTTI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "678-513-8686",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "1644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "202G708166",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2013; 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.