For Your Eyes Only-Eye Care Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

2413 Issued in GA

Legal business name

FOR YOUR EYES ONLY-EYE CARE INC

Practice address

5851 S Vickery
Cumming, GA 30040-8793

Phone

(678) 682-9299

NPI assigned

Mar 25, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Mira Kalman Sivan, OD

Title

Owner

Phone

(678) 682-9299

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1237939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292544000000",
    "number": "1992947717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5851 S VICKERY ST.",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300408793",
            "telephone_number": "678-682-9299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5851 S VICKERY",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300408793",
            "telephone_number": "678-682-9299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOR YOUR EYES ONLY-EYE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-25",
        "last_updated": "2010-12-17",
        "status": "A",
        "authorized_official_last_name": "SIVAN",
        "authorized_official_first_name": "MIRA",
        "authorized_official_middle_name": "KALMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-682-9299",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "2413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Aviv Fogel, DC
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• Peter Edward Fong, M.D.
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• Maryann Forbes, NP-C
• Ashley Kathleen Ford, FNP-C
• Briana Ford, DO
• Cheryl L. Fordham, M.S., LPC, NBCCH
• Forefront Dermatology, S.C.

• All providers in Cumming, GA
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2010; 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.