Organization Active NPI

Arc Vision LLC

  • Optometrist
  • Atlanta, GA
National Provider Identifier
1982146247
Registry record updated Nov 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT002420 Issued in GA
Legal business name
ARC VISION LLC
Practice address
3176 Esplanade Cir SW
Atlanta, GA 30311-4221
Phone
(770) 961-2020
Fax
(770) 968-0854
NPI assigned
Nov 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2016

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

Authorized official

Name
Courtney Waiters
Title
Billing Manager
Phone
(770) 961-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPT002420 GA Primary

Addresses

Primary practice location

3176 Esplanade Cir SW
Atlanta, GA 30311-4221

Mailing address

3176 Esplanade Cir SW
Atlanta, GA 30311-4221
Phone (770) 961-2020

Other identifiers 1

IdentifierTypeStateIssuer
66951517ACMedicaidGA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1479340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479340800000",
    "number": "1982146247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3176 ESPLANADE CIR SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303114221",
            "telephone_number": "770-961-2020",
            "fax_number": "770-968-0854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3176 ESPLANADE CIR SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303114221",
            "telephone_number": "770-961-2020",
            "fax_number": "770-968-0854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARC VISION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-17",
        "last_updated": "2016-11-17",
        "status": "A",
        "authorized_official_last_name": "WAITERS",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "770-961-2020"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "66951517AC",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2016; 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.