LOW VISION SKILLS REHABILITATION AND CONSULTING LLC (NPI# 1508332586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508332586 |
Entity Type | Organization |
Organization Name | LOW VISION SKILLS REHABILITATION AND CONSULTING LLC |
Practice Address |
1046 Legacy Walk Woodstock GA 30189-5240 |
Practice Telephone | 2164699909 |
Mailing Telephone | 2164699909 |
Enumeration Date | 2018-10-17 |
Last Update Date | 2018-10-17 |
Authorized Official Name | SUSAN ROSE GARBER (OWNER) |
Authorized Official Telephone | 4704079909 |
Authorized Official Credential | OT |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 152WL0500X |
Optometrist Specialization: Low Vision Rehabilitation |
Eye and Vision Services Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 003130420A | 05 |
Street Address |
1046 LEGACY WALK |
City | WOODSTOCK |
State | GA |
Zip Code | 30189-5240 |
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 | 152WL0500X |
Grouping | Eye and Vision Services Providers |
Classification | Optometrist |
Specialization | Low Vision Rehabilitation |
Optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services. |
Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720285307 | Dr. Daniel D. Gottlieb Optometrist, PC | Optometrist | 6300 Atlanta Hwy Ste 101a, Alpharetta, GA 30004-7821 | 2007-06-28 |
1497893671 | Center for The Visually Impaired | Optometrist | 739 W Peachtree St Nw, Atlanta, GA 30308-1137 | 2007-02-01 |
1548365109 | David Ross Sweeney | Optometrist | 5380 Roswell Rd Ne, Atlanta, GA 30342-1916 | 2006-09-14 |
1356436349 | Emerson Eugene Brown | Optometrist | 1320 Abercorn St, Savannah, GA 31401-6947 | 2006-10-04 |
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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.