Organization Active NPI

Windsor Eye Care, LLC

  • Optometrist
  • Atlanta, GA
National Provider Identifier
1992157994
Registry record updated Jul 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT002785 Issued in GA
Legal business name
WINDSOR EYE CARE, LLC
Practice address
4600 Roswell Rd
Ste D120
Atlanta, GA 30342-3075
Phone
(678) 437-8143
NPI assigned
Jul 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2016

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

Authorized official

Name
Gemma Patel, O.D.NPI 1740613876
Title
President
Phone
(678) 437-8143

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPT002785 GA Primary

Addresses

Primary practice location

4600 Roswell Rd
Ste D120
Atlanta, GA 30342-3075

Mailing address

199 14TH St NE
Apt 1405
Atlanta, GA 30309-3643

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161121001292 GA Part B Supplier - Clinic/Group Practice 8729367495 Receives reassigned benefits from 2 practitioners
Practice locations: Atlanta, GA

National Provider Directory

National Provider Directory

Locations

4600 Roswell Rd
Unit D120
Sandy Springs, GA 30342
Phone (678) 437-8143

4617 Roswell Rd
Sandy Springs, GA 30342

Practitioners & affiliated clinicians

Practitioners 2

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": "1467331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467331200000",
    "number": "1992157994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 14TH ST NE",
            "address_2": "APT 1405",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303093643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 ROSWELL RD",
            "address_2": "STE D120",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303423075",
            "telephone_number": "678-437-8143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDSOR EYE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-01",
        "last_updated": "2016-07-01",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "GEMMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-437-8143",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002785",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 1, 2016; 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.