Organization Active NPI

Bluegrass Eyewear Dba Peachy Eyewear

  • Eyewear Supplier
  • Alpharetta, GA
National Provider Identifier
1932852308
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
BLUEGRASS EYEWEAR DBA PEACHY EYEWEAR
Practice address
1525 Bluegrass Lakes Pkwy
Alpharetta, GA 30004-7713
Phone
(800) 220-6896
NPI assigned
Jan 27, 2022
Organization subpart
Yes
Parent organization
BLUEGRASS EYEWEARAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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

Authorized official

Name
Mrs. Kathleen K Hoover
Title
Ceo/Owner
Phone
(404) 663-9317

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

1525 Bluegrass Lakes Pkwy
Alpharetta, GA 30004-7713

Mailing address

1525 Bluegrass Lakes Pkwy
Alpharetta, GA 30004-7713
Phone (404) 663-9317

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@bluegrasseyewear.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory
Part of
Bluegrass Eyewear Dba Peachy Eyewear

NPI Registry JSON

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

{
    "created_epoch": "1643241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643241600000",
    "number": "1932852308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 BLUEGRASS LAKES PKWY",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300047713",
            "telephone_number": "404-663-9317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 BLUEGRASS LAKES PKWY",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300047713",
            "telephone_number": "800-220-6896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEGRASS EYEWEAR DBA PEACHY EYEWEAR",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BLUEGRASS EYEWEAR",
        "enumeration_date": "2022-01-27",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A",
        "authorized_official_last_name": "HOOVER",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "404-663-9317",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@bluegrasseyewear.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1525 Bluegrass Lakes Pkwy",
            "city": "Alpharetta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300047713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; 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.