NPIMap

Organization Active NPI

Lil' Eyewear Outlet

  • Optician
  • Fayetteville, GA
National Provider Identifier
1992082945
Registry record updated Nov 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
1621 Issued in GA
Legal business name
LIL' EYEWEAR OUTLET
Practice address
120 Georgia Ave E
Fayetteville, GA 30214-1616
Phone
(770) 719-9500
Fax
(770) 719-9500
NPI assigned
Nov 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2011

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

Authorized official

Name
Patrick Alfred, ABO CERTIFIEDNPI 1093086159
Title
Lab Manager
Phone
(770) 719-9500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X 1621 GA Primary

Addresses

Primary practice location

120 Georgia Ave E
Fayetteville, GA 30214-1616

Mailing address

120 Georgia Ave E
Fayetteville, GA 30214-1616
Phone (770) 719-9500

National Provider Directory

National Provider Directory

Locations

120 Georgia Ave E
Fayetteville, GA 30214
Phone (770) 719-9500

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": "1320364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320364800000",
    "number": "1992082945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 GEORGIA AVE E",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302141616",
            "telephone_number": "770-719-9500",
            "fax_number": "770-719-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 GEORGIA AVE E",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302141616",
            "telephone_number": "770-719-9500",
            "fax_number": "770-719-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIL' EYEWEAR OUTLET",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-04",
        "last_updated": "2011-11-04",
        "status": "A",
        "authorized_official_last_name": "ALFRED",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "LAB MANAGER",
        "authorized_official_telephone_number": "770-719-9500",
        "authorized_official_credential": "ABO CERTIFIED"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "GA",
            "license": "1621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; 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.