Active NPI
North Georgia Family Eye Care, Inc.
- Optometrist
- Dahlonega, GA
National Provider Identifier
1962884262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 002853
- Legal business name
- NORTH GEORGIA FAMILY EYE CARE, INC.
- Practice address
- 79 Turner Rd
Dahlonega, GA 30533-0533 - Phone
- (706) 864-7007
- NPI assigned
- Jun 23, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael C Dasinger, OD
- Title
- President
- Phone
- (334) 618-0930
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 002853 | GA | Primary |
| Optometrist | 152W00000X |
Addresses
Primary practice location
79 Turner Rd
Dahlonega, GA 30533-0533
Mailing address
5983 Highway 53 E
Suite 250
Dawsonville, GA 30534-9513
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240524001477 | GA | Part B Supplier - Clinic/Group Practice | 7416263330 |
Receives reassigned benefits from 3 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Dahlonega, GA; Dawsonville, GA |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435017600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1725494400000",
"number": "1962884262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5983 HIGHWAY 53 E",
"address_2": "SUITE 250",
"city": "DAWSONVILLE",
"state": "GA",
"postal_code": "305349513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "79 TURNER RD",
"city": "DAHLONEGA",
"state": "GA",
"postal_code": "305330533",
"telephone_number": "706-864-7007"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH GEORGIA FAMILY EYE CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-23",
"last_updated": "2024-09-05",
"certification_date": "2024-09-05",
"status": "A",
"authorized_official_last_name": "DASINGER",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "334-618-0930",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "GA",
"license": "002853",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dahlonega, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.