Atlanta Eye Prosthetics Incorporated

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

119660-8 Issued in GA

Legal business name

ATLANTA EYE PROSTHETICS INCORPORATED

Practice address

6065 Roswell Rd Ste 870
Sandy Springs, GA 30328-4065

Phone

(404) 352-4550

Fax

(404) 352-5833

NPI assigned

Nov 6, 2006

Last updated

Sep 6, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Antonio Louis Alcorta I, BCONPI 1023500485

Title

President

Phone

(559) 940-1189

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 2

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.

• Antonio Louis Alcorta I, BCO

  • Ocularist
  • Visalia, CA
  • NPI 1023500485
  NPD (past) Authorized official
• David B Herndon

  • Durable Medical Equipment & Medical Supplies
  • Atlanta, GA
  • NPI 1942492525
  NPD

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1952470072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6065 ROSWELL RD STE 870",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303284065",
            "telephone_number": "404-352-4550",
            "fax_number": "404-352-5833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6065 ROSWELL RD STE 870",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303284065",
            "telephone_number": "404-352-4550",
            "fax_number": "404-352-5833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA EYE PROSTHETICS INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2023-09-06",
        "certification_date": "2023-06-07",
        "status": "A",
        "authorized_official_last_name": "ALCORTA",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-940-1189",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "BCO"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "119660-8",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000411166A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE SUPPLIER BILLING NUMBER",
            "identifier": "0758420001",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Sandy Springs, GA
• Providers in Sandy Springs, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.