EAST POINT EYE CLINIC PC (NPI# 1801059175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801059175 |
| Entity Type | Organization |
| Organization Name | EAST POINT EYE CLINIC PC |
| Practice Address |
3600 Marketplace Blvd East Point GA 30344-8129 |
| Mailing Address |
3995 Randall Mill Rd Nw Atlanta GA 30327-3101 |
| Practice Telephone | 4043462020 |
| Practice Fax Number | 4043462026 |
| Mailing Telephone | 4043462020 |
| Mailing Fax Number | 4043462026 |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2008-07-08 |
| Authorized Official Name | DR. INGRID A ELLISON (OPHTHALMOLOGY) |
| Authorized Official Telephone | 4043462020 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1100X |
Technician/Technologist Specialization: Ophthalmic |
45207 | GA | Eye and Vision Services Providers |
| Street Address |
3600 MARKETPLACE BLVD |
| City | EAST POINT |
| State | GA |
| Zip Code | 30344-8129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619022886 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 3600 Marketplace Blvd, Camp Creek Marketplace, East Point, GA 30344-5722 | 2007-01-25 |
| 1609484773 | Uyenthu Vo | Optometrist | 3600 Marketplace Blvd, East Point, GA 30344-8129 | 2020-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306468053 | Comfortlink Healthcare, LLC | Home Health | 2691 Harris Street, Eastpoint, GA 30344 | 2020-05-15 |
| 1881159028 | Brandon Norris Spires | Specialist/Technologist | 6000 S Terminal Pkwy, Atlanta, GA 30344 | 2019-02-01 |
| 1568983435 | Rhonda Charlette Bussey | Social Worker | 3173 Delowe Dr, East Point, GA 30344 | 2017-06-30 |
| 1801324603 | Megan Marie Timpone | Physician Assistant | 1135 Cleveland Ave Ste 513, Atlanta, GA 30344 | 2017-05-24 |
| 1861837577 | Propsych Behavioral Health Care Services LLC | Community/Behavioral Health | 1847 Washington Road, East Point, GA 30344 | 2013-05-08 |
| 1932459096 | Kimberly Ann Bogard | Counselor | 4373 Sun Valley Blvd Rm A, East Point, GA 30344 | 2012-09-17 |
| 1376815621 | Love Angels | Home Health | 307 Crest Ridge Dr., East Point, GA 30344 | 2012-02-02 |
| 1861701054 | John Allen Reed IIi | Physical Therapist | 1657 Dorsey Ave., East Point, GA 30344 | 2010-10-05 |
| 1437482783 | Winston Daniels | Home Health Aide | 5100 High Point Rd Ste.36, Union City, GA 30344 | 2009-09-17 |
| 1649405572 | Kenyotta Hannah | Counselor | 1514 Cleveland Avenue, East Point, GA 30344 | 2009-05-21 |
| Find all providers in zip 30344 | ||||
| Taxonomy Code | 156FX1100X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Ophthalmic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356999130 | Anna Mccaskill | Technician/Technologist | 1890 Browning Bend Ct, Dacula, GA 30019-7771 | 2019-08-26 |
| 1093221541 | Jessica Leigh Smith | Technician/Technologist | 439 Fir Rd, Franklin, GA 30217-3976 | 2017-12-20 |
| 1134587801 | Robert Pierpont Taylor | Technician/Technologist | 321 Chinquapin Dr Sw, Marietta, GA 30064-3505 | 2016-02-09 |
| 1194039388 | Jeffrey Lee Jennell | Technician/Technologist | 1 Freedom Way, Augusta, GA 30904-6258 | 2010-07-30 |
| 1437352812 | Choi Eye Institute, P.C. | Technician/Technologist | 1107 Memorial Dr, Suite 102, Dalton, GA 30720-8662 | 2007-06-06 |
| 1801956909 | Dixophthal PC | Technician/Technologist | 806 N Jefferson St, Albany, GA 31701-2363 | 2006-12-11 |
| 1710066048 | Dean A Sheldon | Technician/Technologist | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2006-11-06 |
| 1538271820 | Donna N Loupe | Technician/Technologist | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2006-08-31 |
| 1851308381 | Stephen H Herman | Technician/Technologist | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2006-08-01 |
| 1225045495 | Michael Allan Schrage | Technician/Technologist | 1670 Clairmont Rd, Optical Shop 1c 184, Decatur, GA 30033-4004 | 2006-08-01 |
| Find all providers with the same taxonomy | ||||
| City | EAST POINT |
| Zip Code | 30344 |
Please comment or provide details below to improve the information on EAST POINT EYE CLINIC PC.
| 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.