ROSWELL EYE CLINIC,INC (NPI# 1104010594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104010594 |
| Entity Type | Organization |
| Organization Name | ROSWELL EYE CLINIC,INC |
| Other Organization Name | ROSWELL EYE CLINIC,INC |
| Practice Address |
1190 Grimes Bridge Rd Roswell GA 30075-3930 |
| Practice Telephone | 7709927620 |
| Practice Fax Number | 7709928262 |
| Mailing Telephone | 7709927620 |
| Mailing Fax Number | 7709928262 |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2011-02-28 |
| Authorized Official Name | DR. SHARON B MOSCOW (OPTOMETRIST) |
| Authorized Official Telephone | 7709927620 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 861-T | GA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00168583A | 05 |
| Other Name | Type Code |
|---|---|
| Roswell Eye Clinic,Inc | Doing Business As Name - Organization |
| Street Address |
1190 GRIMES BRIDGE RD |
| City | ROSWELL |
| State | GA |
| Zip Code | 30075-3930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487736823 | Michael Grover Smith | Dentist | 1190 Grimes Bridge Rd, Ste B, Roswell, GA 30075 | 2006-10-19 |
| 1467060517 | Ashleigh Marie Sprouse | Optometrist | 1190 Grimes Bridge Rd, Roswell, GA 30075-3930 | 2020-07-15 |
| 1598285447 | Michelle Rose Moscow | Optometrist | 1190 Grimes Bridge Rd, Roswell, GA 30075-3930 | 2017-06-21 |
| 1376984195 | Scott Robert Moscow | Optometrist | 1190 Grimes Bridge Rd, Roswell, GA 30075-3930 | 2013-07-09 |
| 1396894135 | Michael Palmieri | Chiropractor | 1190 Grimes Bridge Rd, Suite G, Roswell, GA 30075-3930 | 2007-01-10 |
| 1134299688 | Sharon Berger-moscow | Optometrist | 1190 Grimes Bridge Rd, Roswell, GA 30075-3930 | 2006-11-09 |
| 1144390600 | William Moscow | Optometrist | 1190 Grimes Bridge Rd, Roswell, GA 30075-3930 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851889539 | William Shelton Green | Specialist/Technologist | 1055 Riceland Ct, Roswell, GA 30075 | 2018-04-27 |
| 1043712524 | Lena Claire Morison | Music Therapist | 12060 Etris Rd. #200, Roswell, GA 30075 | 2018-03-01 |
| 1790232031 | Christina Danielle Dicioccio | Physician Assistant | 11040 Crabapple Rd # Suiea, Roswell, GA 30075 | 2016-09-02 |
| 1720531767 | Arbor Cove Therapy LLC | Social Worker | 981 Canton St, Suite 200-e, Roswell, GA 30075 | 2016-07-26 |
| 1740640887 | Christina C Plaice | Counselor | 10882 Crabapple Road, Suite 2, Roswell, GA 30075 | 2016-03-02 |
| 1215316435 | Jlm X-ray LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1015 Canton Street, Roswell, GA 30075 | 2015-05-20 |
| 1174953624 | Ellen Terrell | Occupational Therapist | 10050 Crabapple Road, Suite D-115a, Roswell, GA 30075 | 2013-11-20 |
| 1114269974 | Patricia E Hernandez | Nurse Practitioner | 10479 Alpharetta St Ste 18, Roswell, GA 30075 | 2013-03-20 |
| 1750623658 | The George Center Foundation | Music Therapist | 1206 Etris Rd., Suite 200, Roswell, GA 30075 | 2013-03-19 |
| 1407187735 | Rachael Anne Templeton | Chiropractor | 593 Atlanta Street, Gorman Chiropractic, Roswell, GA 30075 | 2010-01-27 |
| Find all providers in zip 30075 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427295740 | Angela Girello | Optometrist | 1035 Lancaster Sq, Roswell, GA 30076-6328 | 2009-01-08 |
| 1285883116 | Visualeyes, Inc | Optometrist | 2300 Holcomb Bridge Rd Ste 306, Roswell, GA 30076-3482 | 2008-09-16 |
| 1235398975 | Tara Leigh Fowler | Optometrist | 930 Marietta Hwy Ste 400, Roswell, GA 30075-6754 | 2008-06-06 |
| 1952569089 | Edward J Furey Od PC | Optometrist | 250 E Crossville Road, Roswell, GA 30075 | 2008-05-27 |
| 1346465804 | Focus Eye Care Inc. | Optometrist | 1570 Old Alabama Rd Ste 106, Roswell, GA 30076-2108 | 2007-04-17 |
| 1770609893 | Renae Elaina Weinick | Optometrist | 330 E Crossville Rd, Roswell, GA 30075-3038 | 2007-03-21 |
| 1952435133 | Leadingham Vision Center Ltd Co | Optometrist | 1100 N. Main Street, Roswell, NM 88201 | 2007-03-16 |
| 1902943194 | John Robert Davis | Optometrist | 4400 North Main Street, Roswell, NM 88201 | 2007-01-30 |
| 1922104264 | Naheed Ahmad | Optometrist | 970 Mansell Rd., Roswell, GA 30076 | 2006-09-15 |
| 1710092531 | Terri D Eachus | Optometrist | 204 E College Blvd, Roswell, NM 88201 | 2006-08-20 |
| Find all providers in ROSWELL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.