Organization Active NPI

Gwinnett Opticians

  • Ophthalmology Physician
  • Norcross, GA
National Provider Identifier
1932397551
Registry record updated Oct 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
GWINNETT OPTICIANS
Practice address
5635 Peachtree Parkway
Suite 175
Norcross, GA 30092-6400
Phone
(770) 448-6875
Fax
(770) 449-3091
NPI assigned
Oct 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2007

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

Authorized official

Name
Mr. Gary Dennis Masueei
Title
Ceo
Phone
(770) 448-6875

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

5635 Peachtree Parkway
Suite 175
Norcross, GA 30092-6400

Mailing address

5635 Peachtree Parkway
Suite 175
Norcross, GA 30092-6400
Phone (770) 448-6875

National Provider Directory

National Provider Directory

Locations

5635 Peachtree Pkwy
Ste 175
Norcross, GA 30092
Phone (770) 448-6875

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1932397551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5635 PEACHTREE PARKWAY",
            "address_2": "SUITE 175",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300926400",
            "telephone_number": "770-448-6875",
            "fax_number": "770-449-3091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5635 PEACHTREE PARKWAY",
            "address_2": "SUITE 175",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300926400",
            "telephone_number": "770-448-6875",
            "fax_number": "770-449-3091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GWINNETT OPTICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "MASUEEI",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "DENNIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-448-6875",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norcross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.