Organization Active NPI

Brookhaven Eye Care Inc.

  • Optometrist
  • Atlanta, GA
National Provider Identifier
1932419942
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2240 Issued in GA
Legal business name
BROOKHAVEN EYE CARE INC.
Practice address
500 Brookhaven Ave
Atlanta, GA 30319
Phone
(404) 460-1928
Fax
(404) 460-1929
NPI assigned
Oct 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2024

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

Authorized official

Name
Dr. Teresa Hsu, O.DNPI 1114050929
Title
Optometrist
Phone
(404) 460-1928

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 2240 GA Primary

Addresses

Primary practice location

500 Brookhaven Ave
Atlanta, GA 30319

Mailing address

500 Brookhaven Ave
Atlanta, GA 30319
Phone (404) 460-1928

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101228000251 GA Part B Supplier - Clinic/Group Practice 2860680329 Receives reassigned benefits from 1 practitioner
Practice locations: Alpharetta, GA; Brookhaven, 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, 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": "1286928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714694400000",
    "number": "1932419942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 BROOKHAVEN AVE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30319",
            "telephone_number": "404-460-1928",
            "fax_number": "404-460-1929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 BROOKHAVEN AVE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30319",
            "telephone_number": "404-460-1928",
            "fax_number": "404-460-1929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKHAVEN EYE CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-13",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A",
        "authorized_official_last_name": "HSU",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "404-460-1928",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "2240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; 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.