Organization Active NPI

United Optics LLC

  • Optometrist
  • Snellville, GA
National Provider Identifier
1982074993
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
UNITED OPTICS LLC
Practice address
1708 Scenic Hwy N
Suite L
Snellville, GA 30078-2225
Phone
(770) 736-3006
Fax
(678) 344-7222
NPI assigned
Oct 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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

Authorized official

Name
Mr. Yousuf Dosani
Title
Owner
Phone
(770) 736-3006

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary
Eyewear Supplier 332H00000X

Addresses

Primary practice location

1708 Scenic Hwy N
Suite L
Snellville, GA 30078-2225

Mailing address

1708 Scenic Hwy N
Suite L
Snellville, GA 30078-2225
Phone (770) 736-3006

Other names 1

  • PEARLE VISION Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240124003306 GA Part B Supplier - Clinic/Group Practice 5991158156 Receives reassigned benefits from 3 practitioners
Practice locations: Snellville, GA

National Provider Directory

National Provider Directory

Locations

1708 Scenic Hwy N
Ste L
Snellville, GA 30078
Phone (770) 736-3006

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1443744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701388800000",
    "number": "1982074993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 SCENIC HWY N",
            "address_2": "SUITE L",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300782225",
            "telephone_number": "770-736-3006",
            "fax_number": "678-344-7222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 SCENIC HWY N",
            "address_2": "SUITE L",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300782225",
            "telephone_number": "770-736-3006",
            "fax_number": "678-344-7222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED OPTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-02",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A",
        "authorized_official_last_name": "DOSANI",
        "authorized_official_first_name": "YOUSUF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-736-3006",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PEARLE VISION",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PEARLE VISION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Snellville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; 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.