Organization Active NPI

Opticure-Medix LLC

  • Contractor
  • Dacula, GA
National Provider Identifier
1992642557
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
Legal business name
OPTICURE-MEDIX LLC
Practice address
2431 Harbins Rd
Dacula, GA 30019-1705
Phone
(484) 866-8683
NPI assigned
May 1, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Authorized official

Name
Khushnood Khan
Title
Owner
Phone
(484) 866-8683

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ContractorGroup: 193200000X MULTI-SPECIALTY GROUP 171W00000X Primary

Addresses

Primary practice location

2431 Harbins Rd
Dacula, GA 30019-1705

Mailing address

2431 Harbins Rd
Dacula, GA 30019-1705
Phone (484) 866-8683

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1777593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777593600000",
    "number": "1992642557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2431 HARBINS RD",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300191705",
            "telephone_number": "484-866-8683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2431 HARBINS RD",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300191705",
            "telephone_number": "484-866-8683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICURE-MEDIX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-01",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "KHUSHNOOD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "484-866-8683"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dacula, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; 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.