VINCENT MICHAEL MAGLIOCCO (NPI# 1194771766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194771766 |
Entity Type | Individual |
Full Name | VINCENT MICHAEL MAGLIOCCO |
Credential | O.D. |
Practice Address |
2230 Towne Lake Pkwy Building 700 Suite 100 Woodstock GA 30189-5540 |
Practice Telephone | 7705913511 |
Practice Fax Number | 7705913752 |
Mailing Telephone | 7705913511 |
Mailing Fax Number | 7705913752 |
Enumeration Date | 2006-05-25 |
Last Update Date | 2013-01-16 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 152W00000X | Optometrist | GA2071 | GA | Eye and Vision Services Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | PCAN | 202I415396 | 01 |
GA | NPI | 1194771766 | 01 |
Street Address |
2230 TOWNE LAKE PKWY BUILDING 700 SUITE 100 |
City | WOODSTOCK |
State | GA |
Zip Code | 30189-5540 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033108121 | Romualda S Klicius | Pediatrics | 2230 Towne Lake Pkwy, Building 300, Suite 100, Woodstock, GA 30189-5540 | 2005-10-20 |
1316574551 | Jane Schutter | Behavioral Analyst | 2230 Towne Lake Pkwy, Woodstock, GA 30189-5540 | 2020-03-26 |
1225569437 | New Ways Pain Management | Radiology | 2230 Towne Lake Pkwy, Bldg, No. 900, Suite 250 & 150, Woodstock, GA 30189-5540 | 2017-03-21 |
1487047791 | Tl Dental Group, LLC | Dentist | 2230 Towne Lake Pkwy, Bldg. 100, Suite 100, Woodstock, GA 30189-5540 | 2015-03-11 |
1952712390 | Connect Hearing, Inc. | Audiologist | 2230 Towne Lake Pkwy, Building 800 Ste 100, Woodstock, GA 30189-5540 | 2014-05-19 |
1851656151 | Caroline Michelle Malloy | Physical Therapist | 2230 Towne Lake Pkwy, Bldg 1200-100, Woodstock, GA 30189-5540 | 2012-07-12 |
1649531344 | Donaco Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 2230 Towne Lake Pkwy, Bldg 200 Ste 100, Woodstock, GA 30189-5540 | 2012-05-30 |
1295015709 | Kunjan Patel | Dentist | 2230 Towne Lake Pkwy, Bldg 1300 Suite 100, Woodstock, GA 30189-5540 | 2011-08-29 |
1326340407 | John Iaculli | Dentist | 2230 Towne Lake Pkwy, Building 1100, Ste 100, Woodstock, GA 30189-5540 | 2010-11-23 |
1326349945 | Family Orthodontics of Ws, LLC | Dentist | 2230 Towne Lake Pkwy, Building 1100, Ste 100, Woodstock, GA 30189-5540 | 2010-11-12 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801494356 | Susan Iruku | Pharmacist | 12050 Ga-92 #112, Woodstock, GA 30189 | 2020-10-15 |
1598267437 | Kelly Sierra | Nurse Practitioner | 100 Stoneforest Dr Ste 300, Woodstock, GA 30189 | 2018-03-07 |
1548770449 | Chandra Johnson | Nurse Practitioner | 295 Molly Lane Ste 150, Woodstock, GA 30189 | 2017-10-05 |
1083133912 | Amanda Bostock Sowisdral | Physician Assistant | 250 Parkbrooke Pl Ste 300, Woodstock, GA 30189 | 2017-09-12 |
1780101659 | Laura C Koch Woodstock LLC Dba Fountain View Dentistry | Dentist | 1816 Eagle Drive, Building 200-a, Woodstock, GA 30189 | 2017-08-23 |
1265954788 | Vicky Morton Bryan | Nurse Practitioner | 422 Sycamore Trail, Woodstock, GA 30189 | 2017-07-17 |
1063933588 | Marietta Eye Clinic, Pa | Optometrist | 2990 Eagle Dr Ste 110, Woodstock, GA 30189 | 2017-07-06 |
1275914749 | Nrup Tolat | Podiatrist | 100 Stoneforest Dr Ste 120, Woodstock, GA 30189 | 2015-06-10 |
1558781534 | Mary Jansson Carmon | Nurse Practitioner | 1000 Towne Lake Pkwy, Woodstock, GA 30189 | 2014-04-17 |
1518388941 | Afc Physicians of Georgia, PC | General Practice | 6440 Bells Ferry Rd, Woodstock, GA 30189 | 2014-01-03 |
Find all providers in zip 30189 |
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 |
---|---|---|---|---|
1740890284 | Woodstock Eye Associates LLC | Optometrist | 113 Lincoln St, Woodstock, GA 30188-7800 | 2020-08-07 |
1235794959 | National Vision Inc | Optometrist | 130 Woodstock Square Ave Ste 430, Woodstock, GA 30189-6500 | 2019-05-08 |
1063933588 | Marietta Eye Clinic, Pa | Optometrist | 2990 Eagle Dr Ste 110, Woodstock, GA 30189 | 2017-07-06 |
1366857807 | Robert Adam Young | Optometrist | 9801 Highway 92 Ste 100, Woodstock, GA 30188-6454 | 2014-06-24 |
1003243502 | Romanda Basaly Demetrios | Optometrist | 12924 Highway 92, Woodstock, GA 30188-5192 | 2013-09-30 |
1427497825 | Jonathan David Chao | Optometrist | 915 Ridgewalk Pkwy Ste 425, Woodstock, GA 30188-0119 | 2013-06-19 |
1588949846 | Steven J Keith Od PC | Optometrist | 1010 Wyngate Pkwy Ste 201, Woodstock, GA 30189-6990 | 2011-10-19 |
1063650422 | Woodstock Vision Center, Inc. | Optometrist | 9801 Highway 92, Suite 100, Woodstock, GA 30188-6453 | 2009-01-22 |
1619133261 | Kyle Burke Edwards | Optometrist | 7824 Hickory Flat Hwy, Suite 100, Woodstock, GA 30188-6574 | 2008-08-04 |
1215132154 | Joann Janczewski | Optometrist | 10709 Croydon Ct, Woodstock, MD 21163-1415 | 2007-06-20 |
Find all providers in WOODSTOCK |
Please comment or provide details below to improve the information on VINCENT MICHAEL MAGLIOCCO.
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.