Myeyedr Optometry of Georgia, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MYEYEDR OPTOMETRY OF GEORGIA, LLC

Practice address

860 Peachtree St NE Ste F
Atlanta, GA 30308-1288

Phone

(404) 853-5008

NPI assigned

Apr 3, 2019

Organization subpart

No

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

Authorized official

Name

Sue Downes

Title

Secretary

Phone

(703) 847-8899

Specialties & licenses 1

Addresses

Other names 1

• MyEyeDr. Doing business as

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.

CLIA laboratory certificates

Tax ID family

Myeyedr Optometry of Ga43 organizations share this tax ID, including this one

Other organizations with this tax ID 42

Organizations that report the same tax identification number in the National Provider Directory.

• Myeyedr Optometry of Georgia LLC

  • Optometrist
  • Dublin, GA
  • NPI 1205241874
  NPD tax ID
• Myeyedr Optometry of Georgia LLC

  • Optometrist
  • Dublin, GA
  • NPI 1295380574
  NPD tax ID
• Myeyedr Optometry of Georgia LLC

  • Optometrist
  • Roswell, GA
  • NPI 1619509171
  NPD tax ID
• Myeyedr Optometry of Georgia LLC

  • Optometrist
  • Warner Robins, GA
  • NPI 1831504406
  NPD tax ID
• Myeyedr Optometry of Georgia LLC

  • Optometrist
  • Canton, GA
  • NPI 1972136224
  NPD tax ID
• Myeyedr Optometry of Georgia, LLC

  • Optometrist
  • Canton, GA
  • NPI 1023481207
  NPD tax ID
• Myeyedr Optometry of Georgia, LLC

  • Optometrist
  • Acworth, GA
  • NPI 1023696044
  NPD tax ID
• Myeyedr Optometry of Georgia, LLC

  • Optometrist
  • Columbus, GA
  • NPI 1043669344
  NPD tax ID
• Myeyedr Optometry of Georgia, LLC

  • Optometrist
  • Columbus, GA
  • NPI 1093289084
  NPD tax ID
• Myeyedr Optometry of Georgia, LLC

  • Optometrist
  • Waycross, GA
  • NPI 1114313236
  NPD tax ID
• Myeyedr Optometry of Georgia, LLC

  • Optometrist
  • Decatur, GA
  • NPI 1114682523
  NPD tax ID
• Myeyedr Optometry of Georgia, LLC

  • Optometrist
  • Woodstock, GA
  • NPI 1144684184
  NPD tax ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Divya Bhakta, O.D.

  • Optometrist
  • Atlanta, GA
  • NPI 1164770541
  NPD
• Candice M. Moore, OD

  • Optometrist
  • Atlanta, GA
  • NPI 1629555131
  NPD

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

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653523200000",
    "number": "1972065456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 PEACHTREE ST NE STE F",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303081288",
            "telephone_number": "404-853-5008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYEYEDR OPTOMETRY OF GEORGIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-03",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A",
        "authorized_official_last_name": "DOWNES",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "703-847-8899"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MyEyeDr.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MyEyeDr.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Myeyedr Optometry of Georgia, LLC
• Myeyedr Optometry of Georgia, LLC
• Myeyedr Optometry of Georgia, LLC
• Myeyedr Optometry of Georgia, LLC
• Myeyedr Optometry of Georgia, LLC
• Myeyedr. Optometry of Georgia, LLC
• Myidealdoctor LLC
• Myidealdoctor LLC
• Katherine V Mykytka, PHARM.D.
• Lisa Myla, PT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; 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.