MEL OPTICAL LLC (NPI# 1376109801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376109801 |
| Entity Type | Organization |
| Organization Name | MEL OPTICAL LLC |
| Practice Address |
3295 S Cobb Dr Se Ste 200 Smyrna GA 30080-4175 |
| Mailing Address |
1943 Pleasant Hill Rd Duluth GA 30096-4625 |
| Practice Telephone | 5612752020 |
| Mailing Telephone | 5614336009 |
| Enumeration Date | 2019-05-09 |
| Last Update Date | 2020-01-24 |
| Authorized Official Name | JACKIE BENNETT (CREDENTIALING SUPERVISOR) |
| 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 184 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124681168 | Mel Optical LLC | Optometrist | 4595 Ashford Dunwoody Rd Ne Ste B, Dunwoody, GA 30346-1527 | 2019-04-16 |
| 1679103048 | Mel Optical LLC | Optometrist | 4595 Ashford Dunwoody Rd Ne Ste B, Dunwoody, GA 30346-1527 | 2020-01-24 |
| Street Address |
3295 S COBB DR SE STE 200 |
| City | SMYRNA |
| State | GA |
| Zip Code | 30080-4175 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881205169 | Suny Varughese | Nurse Practitioner | Minute Clinic, 2994 Atlanta Rd, Se, Smyrna, GA 30080 | 2020-08-11 |
| 1891287645 | Provident Group - Creekside Properties LLC | Alzheimer Center (Dementia Center) | 4838 South Cobb Drive, Smyrna, GA 30080 | 2018-06-06 |
| 1710490743 | Alina Rim | Registered Nurse | 4532 Chelton Ct Se, Smyrna, GA 30080 | 2017-11-13 |
| 1932626488 | Richard Kyle Davis | Pharmacist | 2955 Atlanta Rd Se, Smyrna, GA 30080 | 2017-08-25 |
| 1982071163 | Amelia Rafaela Turrubiates-huacuja | Counselor | 1246-c Concord Rd, Suite 101, Smyrna, GA 30080 | 2015-08-24 |
| 1275919755 | Anne Waldner Rohling | Physical Therapist | 1155 Concord Rd Se Ste 210, Smyrna, GA 30080 | 2015-08-06 |
| 1790167856 | Kay Yetunde Johnson | Nurse Practitioner | 3001 Lusk Dr, Smyrna, GA 30080 | 2015-06-25 |
| 1689055436 | Anew You Couneling, LLC | Community/Behavioral Health | 3188 Atlanta Rd, Smyrna, GA 30080 | 2015-06-17 |
| 1457766370 | Trondi Jerry | Counselor | 3381 Atlanta Rd Se, Smyrna, GA 30080 | 2014-06-30 |
| 1093081903 | Ashish Kapila | Podiatrist | Wellstar Podiatry, 4441 Atlanta Rd Se Suite 215, Smyrna, GA 30080 | 2012-03-25 |
| Find all providers in zip 30080 | ||||
| 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 |
|---|---|---|---|---|
| 1790337939 | Karen Ottenheimer | Optometrist | 3295 S Cobb Dr Se # 200, Smyrna, GA 30080-4175 | 2019-07-09 |
| 1538724257 | National Vision Inc | Optometrist | 801 Industrial Blvd Ste 140, Smyrna, TN 37167-6876 | 2019-05-08 |
| 1043726532 | Delaware Eye Care Center Pa | Optometrist | 100 S Main St Ste 217, Smyrna, DE 19977-1479 | 2017-12-19 |
| 1356799860 | Joanna Lee Murray | Optometrist | 1610 Rock Springs Rd, Smyrna, TN 37167-6177 | 2016-05-25 |
| 1356689913 | Tennessee Eye Associated, LLC | Optometrist | 803 Industrial Boulevard, Smyrna, TN 37167 | 2013-01-16 |
| 1194058677 | Rudowski Eyecare, Pllc | Optometrist | 1618 Lee Victory Pkwy, Smyrna, TN 37167-6529 | 2009-09-15 |
| 1619124583 | Stephen Rothbloom Od, LLC | Optometrist | 1655 Spring Rd Se, Smyrna, GA 30080-3774 | 2008-08-22 |
| 1548433857 | Eye Associates of Smyrna | Optometrist | 2430 Herodian Way Se Ste 200, Smyrna, GA 30080-2980 | 2008-04-08 |
| 1871765909 | Premier Eye Group, Inc. | Optometrist | 10541 Cedar Grove Rd, Suite 130, Smyrna, TN 37167-8123 | 2008-03-28 |
| 1932238789 | Halpern Eye Associates, P. A. | Optometrist | 201 Stadium St, Smyrna, DE 19977-2899 | 2007-03-05 |
| Find all providers in SMYRNA | ||||
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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.