Northlake Eyecare Associates, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

NORTHLAKE EYECARE ASSOCIATES, LLC

Practice address

4800 Briarcliff Rd NE Ste 1173
Atlanta, GA 30345-2743

Phone

(770) 359-7647

NPI assigned

Dec 13, 2021

Last updated

Dec 31, 2021By 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

Dr. Radhakrishna Ishwarbhai Patel, OD

Title

President

Phone

(770) 359-7647

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1639353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640908800000",
    "number": "1972262319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 BRIARCLIFF RD NE STE 1173",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303452743",
            "telephone_number": "770-359-7647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 BRIARCLIFF RD NE STE 1173",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303452743",
            "telephone_number": "770-359-7647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHLAKE EYECARE ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-13",
        "last_updated": "2021-12-31",
        "certification_date": "2021-12-31",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RADHAKRISHNA",
        "authorized_official_middle_name": "ISHWARBHAI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-359-7647",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Dec 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.