Active NPI
Jae Matthew Choi, O.D.
- Corneal and Contact Management Optometrist
- Peachtree City, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corneal and Contact Management Optometrist
- License
- 2019
- Practice address
- 407 City Cir Ste 1600
Peachtree City, GA 30269-3125 - Phone
- (770) 487-8013
- NPI assigned
- Sep 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | 2019 | GA | Primary |
Addresses
Primary practice location
407 City Cir Ste 1600
Peachtree City, GA 30269-3125
Mailing address
2451 Cumberland Pkwy SE Ste 3860
Atlanta, GA 30339-6136
Phone (404) 803-1100
Other practice location 1
1675 Cumberland Pkwy SE
Suite #103
Smyrna, GA 30080-6359
Phone (770) 438-0202
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002019 | GA | MD | Marriage & Family Therapist |
| 2019 | GA | MD | Corneal and Contact Management Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clarkson Optometry Georgia Inc | Current | Accepting new patients | |
| State of Mississippi - University of Mississippi Medical Center | Past | Accepting new patients |
Locations
8400 Holcomb Bridge Rd
Ste 440
Alpharetta, GA 30022
Phone (770) 645-1222
2900 Peachtree Rd NW
Ste 301
Atlanta, GA 30305
Phone (404) 869-5551
1675 Cumberland Pkwy SE
Ste 103
Smyrna, GA 30080
Phone (770) 438-0202
15933 Clayton Rd
Ste 201
Ballwin, MO 63011
Interoperability endpoints
- dr.choi@direct.eyecare-partners.com
- https://app.meldrx.com/api/fhir/ecp_cecga
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Eyexam of Peachtree City
- Corneal and Contact Management Optometrist
- Peachtree City, GA
- NPI 1003917469
-
dba Holmes County Hospital and Clinic
- Critical Access Hospital
- Lexington, MS
- NPI 1386630705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534291200000",
"number": "1942301338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2451 CUMBERLAND PKWY SE STE 3860",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303396136",
"telephone_number": "404-803-1100",
"fax_number": "404-803-1100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 CITY CIR STE 1600",
"city": "PEACHTREE CITY",
"state": "GA",
"postal_code": "302693125",
"telephone_number": "770-487-8013"
}
],
"practiceLocations": [
{
"address_1": "1675 Cumberland Pkwy SE",
"address_2": "Suite #103",
"address_purpose": "LOCATION",
"city": "Smyrna",
"state": "GA",
"postal_code": "300806359",
"country_code": "US",
"telephone_number": "770-438-0202",
"fax_number": "770-438-5033",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHOI",
"first_name": "JAE",
"middle_name": "MATTHEW",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-26",
"last_updated": "2018-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "GA",
"license": "2019",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peachtree City, GA
- Jacklyn Alexia Chinnery, LPC
- Ara Chitchyan, MD
- Kathleen Sauve Chiu, IBCLC, RLC
- CHMG of Griffin, LLC (Centerwell Home Health)
- Choi and Bang OD, PC (Eyexam of Peachtree City)
- George Christensen, DDS
- Chronic Wound Consultants LLC
- City of Peachtree City (Peachtree City Fire Rescue)
- Claim Path Georgia, LLC
- Diaz Clark, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.