Active NPI
Arc Vision LLC
- Optometrist
- Atlanta, GA
National Provider Identifier
1982146247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT002420
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 66951517AC | Medicaid | GA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Atlanta, GA
- NPI 1114180155
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.