Brookleigh Family Eyecare, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

BROOKLEIGH FAMILY EYECARE, INC

Practice address

3575 Durden Dr NE
Suite 303
Brookhaven, GA 30319-2253

Phone

(770) 797-5951

Fax

(770) 797-5961

NPI assigned

Jul 25, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Douglas Arthur Anania, O.D.NPI 1194885848

Title

President/Owner

Phone

(770) 685-9140

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

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.

• Douglas A. Anania, O.D.

  • Optometrist
  • Woodstock, GA
  • NPI 1194885848
  Medicare reassignment NPD Authorized official
• Jessica Lee Reynolds, O.D.

  • Optometrist
  • Brookhaven, GA
  • NPI 1295966174
  Medicare reassignment NPD

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

{
    "created_epoch": "1469404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469404800000",
    "number": "1962955153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3575 DURDEN DR NE",
            "address_2": "SUITE 303",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303192253",
            "telephone_number": "770-797-5951",
            "fax_number": "770-797-5961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3575 DURDEN DR NE",
            "address_2": "SUITE 303",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303192253",
            "telephone_number": "770-797-5951",
            "fax_number": "770-797-5961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKLEIGH FAMILY EYECARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-25",
        "last_updated": "2016-07-25",
        "status": "A",
        "authorized_official_last_name": "ANANIA",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "770-685-9140",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brookhaven Dental Associates
• Brookhaven Dental Group LLC
• Brookhaven Police Department
• Brookhaven Village Dentistry
• Brookhaven Vision Care, LLC
• Ashley Armbruster Brooks, OT
• Keisha Renee Brooks
• Lapachus Tacorra-Samone Brooks, BS
• Shelby Broughton, ATC, OTC
• Charlene Brown

• Optometrist in Brookhaven, GA
• Providers in Brookhaven, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2016; 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.