Organization Active NPI

Insight Eyecare P.C.

Doing business as InSight Your Vision Source

  • Sports Vision Optometrist
  • Atlanta, GA
National Provider Identifier
1992823066
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Vision OptometristTaxonomy code 152WS0006X
License
1702 Issued in GA
Legal business name
INSIGHT EYECARE P.C.
Doing business as
InSight Your Vision Source
Practice address
5380 Roswell Rd NE
Atlanta, GA 30342-1916
Phone
(404) 250-1680
Fax
(404) 781-8100
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. David Sweeney, O.D.
Title
Owner
Phone
(404) 250-1680

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Vision OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152WS0006X 1702 GA Primary

Addresses

Primary practice location

5380 Roswell Rd NE
Atlanta, GA 30342-1916

Mailing address

5380 Roswell Rd NE
Atlanta, GA 30342-1916
Phone (404) 250-1680

Other identifiers 1

IdentifierTypeStateIssuer
905001OtherGABLUE CROSS BLUE SHIELD

Other names 1

  • InSight Your Vision Source Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040506000144 GA Part B Supplier - Clinic/Group Practice 5294723227 Receives reassigned benefits from 3 practitioners
Practice locations: Atlanta, GA

National Provider Directory

National Provider Directory

Locations

5380 Roswell Rd
Sandy Springs, GA 30342
Phone (404) 250-1680

Practitioners & affiliated clinicians

Practitioners 5

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": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1992823066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5380 ROSWELL RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421916",
            "telephone_number": "404-250-1680",
            "fax_number": "404-781-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5380 ROSWELL RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421916",
            "telephone_number": "404-250-1680",
            "fax_number": "404-781-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSIGHT EYECARE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "SWEENEY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-250-1680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WS0006X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Sports Vision",
            "state": "GA",
            "license": "1702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "905001",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "InSight Your Vision Source",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 20, 2008; 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.