GEORGIA OPHTHALMOLOGY REFERRAL CENTER, LLC (NPI# 1174772859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174772859 |
| Entity Type | Organization |
| Organization Name | GEORGIA OPHTHALMOLOGY REFERRAL CENTER, LLC |
| Other Organization Name | WOOLFSON EYE INSTITUTE, LLC |
| Practice Address |
1415 Wooten Lake Rd Nw Suite 130 Kennesaw GA 30144-1336 |
| Mailing Address |
800 Mount Vernon Hwy Suite 120 Atlanta GA 30328-4295 |
| Practice Telephone | 8665273722 |
| Mailing Telephone | 7708041684 |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2008-09-17 |
| Authorized Official Name | REBECCA A GARRETT (CREDENTIALING) |
| Authorized Official Telephone | 6782846300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | GA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Woolfson Eye Institute, LLC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790934479 | Georgia Ophthalmology Referral Center, LLC | Ophthalmology | 1620 Highway 76 W, Hiawassee, GA 30546-2149 | 2008-09-17 |
| 1467601146 | Georgia Ophthalmology Referral Center, LLC | Ophthalmology | 10775 Alpharetta Hwy, Roswell, GA 30076-1772 | 2008-09-17 |
| 1841440427 | Georgia Ophthalmology Referral Center, LLC | Ophthalmology | 1980 Riverside Pkwy, Suite 103, Lawrenceville, GA 30043-5943 | 2008-09-19 |
| 1023267705 | Georgia Ophthalmology Referral Center, LLC | Ophthalmology | 800 Mount Vernon Hwy, Suite 125, Atlanta, GA 30328-4295 | 2008-09-17 |
| Street Address |
1415 WOOTEN LAKE RD NW SUITE 130 |
| City | KENNESAW |
| State | GA |
| Zip Code | 30144-1336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467421073 | Chris Hobson | Optometrist | 1415 Wooten Lake Rd Nw, Suite 100, Kennesaw, GA 30144-1350 | 2006-03-16 |
| 1023557931 | Ryan Chihien Tieu | Optometrist | 1415 Wooten Lake Rd Nw, Kennesaw, GA 30144-1336 | 2017-02-13 |
| 1396066072 | Jonathan Woolfson Md, PC | Ophthalmology | 1415 Wooten Lake Rd Nw, Suite 100, Kennesaw, GA 30144-1336 | 2010-06-17 |
| 1043349368 | Tasman Eye Consultants PC | Optometrist | 1415 Wooten Lake Rd Nw, Suite 100, Kennesaw, GA 30144-1336 | 2007-03-04 |
| 1841361920 | H & T Eye Group, LLC | Optometrist | 1415 Wooten Lake Rd Nw, Kennesaw, GA 30144-1350 | 2006-11-13 |
| 1811068620 | Russell G. Anderson Jr. | Dentist | 1415 Wooten Lake Rd Nw, Suite 300, Kennesaw, GA 30144-1350 | 2006-11-13 |
| 1073548426 | Stuart R Tasman | Optometrist | 1415 Wooten Lake Rd Nw, Kennesaw, GA 30144-1350 | 2006-07-12 |
| 1699709246 | Heather Zutaut | Optometrist | 1415 Wooten Lake Rd Nw, Kennesaw, GA 30144-1350 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205440054 | Physician Assistant Surgical Solutions | Surgery | 4290 Bells Ferry Road, Suite 134 - 1032, Kennesaw, GA 30144 | 2020-08-31 |
| 1487149340 | Creative Family Care Inc. | Social Worker | 1275 Shiloh Rd Nw Ste 3030, Kennesaw, GA 30144 | 2018-06-24 |
| 1033632203 | Octavio Andres Tobar | Specialist/Technologist | 1950 Barrett Lakes Blvd Nw Apt 1213, Kennesaw, GA 30144 | 2017-07-19 |
| 1851829220 | Sharon Mcmillan | Counselor | 1301 Shiloh Rd Nw Ste 1840, Kennesaw, GA 30144 | 2017-05-31 |
| 1073054680 | Metropolitan Health Care Plus Inc | Home Health | 445 Laurian Way, Kennesaw, GA 30144 | 2017-03-15 |
| 1649627969 | Caresouth Hha Holdings of Gainesville, LLC | Hospice Care, Community Based | 1000 Cobb Place Blvd Nw Ste 310, Kennesaw, GA 30144 | 2016-05-17 |
| 1851745988 | Joseph Mulligan | Social Worker | 1301 Shiloh Rd., Ste. 849, Kennesaw, GA 30144 | 2016-04-14 |
| 1629438601 | Youfit Health Clubs | Clinic/Center | 3895 Cherokee St Suite 100, Kennesaw, GA 30144 | 2016-03-03 |
| 1598156317 | Jodie Evans | Specialist | 1925 Vaughn Rd, Ste 200, Kennesaw, GA 30144 | 2015-02-16 |
| 1912302134 | Sleepmed Therapies, Inc. | Durable Medical Equipment & Medical Supplies | 1000 Cobb Place Blvd Nw Ste 510, Kennesaw, GA 30144 | 2014-10-30 |
| Find all providers in zip 30144 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750383691 | Rae A King | Ophthalmology | 750 Townpark Ln Nw, Kennesaw, GA 30144-5579 | 2005-08-11 |
| 1568753838 | Namita Bhardwaj | Ophthalmology | 750 Town Park Lane, Kaiser Permanente Town Park Medical Center, Kennesaw, GA 30144 | 2011-04-21 |
| 1396066072 | Jonathan Woolfson Md, PC | Ophthalmology | 1415 Wooten Lake Rd Nw, Suite 100, Kennesaw, GA 30144-1336 | 2010-06-17 |
| 1205097920 | Lubaina M. Rangwala | Ophthalmology | 750 Townpark Lane, Kaiser Permanente Townpark Medical Center, Kennesaw, GA 30144 | 2008-06-25 |
| 1376710822 | Seongmu Lee | Ophthalmology | 750 Townpark Lane, Kaiser Permanente Townpark Medical Center, Kennesaw, GA 30144 | 2008-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748219 | Athens Eye Consultants LLC | Ophthalmology | 650 Oglethorpe Ave Ste 5, Athens, GA 30606-2216 | 2020-10-21 |
| 1922615897 | Georgia Eye Optical, LLC | Ophthalmology | 3800 Pleasant Hill Rd Ste 3, Duluth, GA 30096 | 2020-09-25 |
| 1578188306 | The Eye Md | Ophthalmology | 1359 Milstead Road, Suite #103, Conyers, GA 30012 | 2020-06-08 |
| 1255974630 | Thomas Eye Group PC | Ophthalmology | 2240 Hamilton Creek Pkwy Ste 1100, Dacula, GA 30019-4515 | 2019-10-18 |
| 1972151462 | Rahul Assa Sharma | Ophthalmology | Emory Eye Center 1365 Clifton Rd B, Atlanta, GA 30322-0001 | 2019-08-28 |
| 1821589441 | Thomas Eye Group PC | Ophthalmology | 1110 W Peachtree St Nw Ste 860, Atlanta, GA 30309-3609 | 2018-05-21 |
| 1609363878 | Patricia Anne Bentley | Ophthalmology | 4712 Polo Ln Se, Atlanta, GA 30339-5328 | 2018-04-13 |
| 1790280857 | Tift Regional Health System Inc | Ophthalmology | 1803 Old Ocilla Road, Tifton, GA 31794 | 2018-03-29 |
| 1497287031 | Luke Yuung-jier Chang | Ophthalmology | 1120 15th St # Ba2720, Augusta, GA 30912 | 2017-04-02 |
| 1689038986 | Jonathan Shader | Ophthalmology | 1120 15th St # Ba-2720, Augusta, GA 30912-3983 | 2016-04-12 |
| Find all providers with the same taxonomy | ||||
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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.