Organization Active NPI

Parkway Family Eye Clinic Inc

  • Optometrist
  • Forest Park, GA
National Provider Identifier
1932404241
Registry record updated Mar 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
002416 Issued in GA
Legal business name
PARKWAY FAMILY EYE CLINIC INC
Practice address
559 Forest Pkwy
Suite C
Forest Park, GA 30297-6169
Phone
(404) 361-2200
Fax
(404) 361-2203
NPI assigned
Jan 18, 2011
Last updated
Mar 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2011

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

Authorized official

Name
Dr. Douglas A Anania, O.D.NPI 1194885848
Title
President
Phone
(404) 361-2200

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
Optometrist 152W00000X 002416 GA Primary

Addresses

Primary practice location

559 Forest Pkwy
Suite C
Forest Park, GA 30297-6169

Mailing address

661 Forest Pkwy
Suite D
Forest Park, GA 30297-2256
Phone (404) 361-2200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110811000874 GA Part B Supplier - Clinic/Group Practice 9931378726 Receives reassigned benefits from 1 practitioner
Practice locations: Forest Park, GA

National Provider Directory

National Provider Directory

Locations

661 Forest Pkwy
Ste D
Forest Park, GA 30297
Phone (404) 361-2200

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1295308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300060800000",
    "number": "1932404241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 FOREST PKWY",
            "address_2": "SUITE D",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "302972256",
            "telephone_number": "404-361-2200",
            "fax_number": "404-361-2203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559 FOREST PKWY",
            "address_2": "SUITE C",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "302976169",
            "telephone_number": "404-361-2200",
            "fax_number": "404-361-2203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKWAY FAMILY EYE CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-18",
        "last_updated": "2011-03-14",
        "status": "A",
        "authorized_official_last_name": "ANANIA",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-361-2200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "002416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Park, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2011; 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.