ENVISION OPTICS LLC (NPI# 1164910972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164910972 |
| Entity Type | Organization |
| Organization Name | ENVISION OPTICS LLC |
| Other Organization Name | MY EYE LAB |
| Practice Address |
1021 Dowdy Rd Athens GA 30606-5718 |
| Mailing Address |
3360 Buford Hwy Ne Brookhaven GA 30329-1710 |
| Practice Telephone | 4484484745 |
| Mailing Telephone | 4484484745 |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2018-04-26 |
| Authorized Official Name | JACKIE BENNETT (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 5614336009 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| My Eye Lab | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346890100 | Envision Optics LLC | Optometrist | 440 Ernest W Barrett Pkwy Nw Ste 21, Kennesaw, GA 30144-4918 | 2019-09-13 |
| 1427522820 | Envision Optics LLC | Optometrist | 1680 E West Connector, Austell, GA 30106 | 2019-01-18 |
| 1841762457 | Envision Optics LLC | Optometrist | 3226 Buford Dr, Buford, GA 30519-4956 | 2018-12-20 |
| 1710467857 | Envision Optics LLC | Optometrist | 1943 Pleasant Hill Rd, Duluth, GA 30096 | 2018-08-17 |
| 1194224501 | Envision Optics LLC | Optometrist | 1790 Scenic Hwy N, Snellville, GA 30078-2134 | 2018-02-12 |
| 1215441357 | Envision Optics LLC | Optometrist | 3360 Buford Hwy Ne, Brookhaven, GA 30329-1710 | 2017-11-28 |
| 1124546825 | Envision Optics LLC | Optometrist | 6735 Jonesboro Rd, Morrow, GA 30260-2306 | 2017-09-01 |
| 1144747239 | Envision Optics LLC | Optometrist | 6735 Jonesboro Rd, Morrow, GA 30260-2306 | 2017-08-29 |
| Street Address |
1021 DOWDY RD |
| City | ATHENS |
| State | GA |
| Zip Code | 30606-5718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942816962 | Kofi Darkwa Seffah | Student in an Organized Health Care Education/Training Program | 1199 Prince Ave #70, 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-09-16 |
| 1831712363 | Rebecca John | Licensed Practical Nurse | 240 Mitchel Bridge Road, Athens, GA 30606 | 2020-05-19 |
| 1497375612 | Alfred Ka-shing Wong | Student in an Organized Health Care Education/Training Program | 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-04-17 |
| 1881223956 | Lauren Fesperman | Nurse Practitioner | 242 King Ave Ste 130, Athens, GA 30606 | 2020-04-02 |
| 1255966081 | Westminster Presbyterian Homes, Inc. | Skilled Nursing Facility | 1400 Live Oak Ln, Building 100, Athens, GA 30606 | 2020-03-12 |
| 1255981700 | Carol Cameron Cready-pyle | Social Worker | 1551 Jennings Mill Pkwy Ste 1700, Athens, GA 30606 | 2019-09-17 |
| 1013576016 | Lauren Gruendling | Nurse Practitioner | 242 King Avenue, Suite 210, Athens, GA 30606 | 2019-06-12 |
| 1760045223 | Dominic Ofosu Amakye | Student in an Organized Health Care Education/Training Program | 1270 Prince Avenue Suite 201, Athens, GA 30606 | 2019-04-19 |
| 1740740422 | Juan G Salazar Castillo | Student in an Organized Health Care Education/Training Program | Community Internal Medicine of Athens, 1500 Oglethorpe Ave Suite 200d, Athens, GA 30606 | 2019-03-20 |
| 1750869020 | Jennifer Emily Chapman | Physical Therapist | 1021 Parkway Blvd Ste 101, Athens, GA 30606 | 2018-07-30 |
| Find all providers in zip 30606 | ||||
| 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 |
|---|---|---|---|---|
| 1407412471 | Kajene Murugathasan | Optometrist | 1077 Baxter St Ste 100, Athens, GA 30606-3767 | 2019-05-15 |
| 1871901231 | Heather Nicole Sutton | Optometrist | 110 College St Ste B, Athens, AL 35611-2714 | 2014-07-30 |
| 1841520038 | Km Vision Inc. | Optometrist | 3700 Atlanta Highway 141 Georgia Square Mall, Athens, GA 30606-7420 | 2010-01-11 |
| 1215166152 | Megan Morris Evans | Optometrist | 22097 Medical Village Drive, Athens, AL 35613 | 2009-07-14 |
| 1497969075 | Nettune Eye Associates | Optometrist | 1123 S Palestine St Ste 100, Athens, TX 75751-3645 | 2007-05-10 |
| 1114040763 | Mark Gregory Mills | Optometrist | 1850 Epps Bridge Pkwy Ste 325, Athens, GA 30606-6186 | 2007-04-09 |
| 1407974082 | Mier Wang | Optometrist | 3700 Atlanta Hwy Ste 141, Athens, GA 30606-7420 | 2007-03-26 |
| 1689718728 | Sheri J Robson | Optometrist | 222 S Palestine St, Athens, TX 75751-2508 | 2007-02-19 |
| 1891861803 | Scott Timothy Williams | Optometrist | 1405 E Tyler Street, Suite 100, Athens, TX 75751-2724 | 2006-11-28 |
| 1154400869 | Randy David Posey | Optometrist | 123 N Marion St, Athens, AL 35611-2537 | 2006-11-03 |
| Find all providers in ATHENS | ||||
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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.