ICARE SPECIALISTS OF WARRIOR, INC. (NPI# 1831234053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831234053 |
| Entity Type | Organization |
| Organization Name | ICARE SPECIALISTS OF WARRIOR, INC. |
| Practice Address |
100 Perimeter Center Pl Ne Atlanta GA 30346-1204 |
| Practice Telephone | 7703950433 |
| Practice Fax Number | 7703950435 |
| Mailing Telephone | 7703950433 |
| Mailing Fax Number | 7703950435 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2018-06-21 |
| Authorized Official Name | DR. WILLIAM KIM (PRESIDENT AND OPTOMETRIST) |
| Authorized Official Telephone | 7703950433 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPT002317 | GA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BCBS | 051526667 | 01 |
| AL | PALMETTO GBA | 5459930001 | 01 |
| GA | EYEMED | A03992 | 01 |
| AL | 529923760 | 05 | |
| AL | TRICARE DR. WILLIAM KIM | 423253477 | 01 |
| AL | HEALTH SPRING | U97383 | 01 |
| AL | BCBS | 051518432 | 01 |
| Street Address |
100 PERIMETER CENTER PL NE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30346-1204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023030814 | Georgia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 100 Perimeter Center Pl Ne, Atlanta, GA 30346-1204 | 2006-07-24 |
| 1447677539 | Francesca Gransberry | Pharmacist | 100 Perimeter Center Pl Ne, Atlanta, GA 30346-1204 | 2014-03-26 |
| 1265868962 | Elham Ansari | Pharmacist | 100 Perimeter Center Pl Ne, Atlanta, GA 30346-1204 | 2013-09-25 |
| 1366784118 | Constance Chin Richendollar | Pharmacist | 100 Perimeter Center Pl Ne, Atlanta, GA 30346-1204 | 2013-03-20 |
| 1770834640 | Jennifer H Bass | Pharmacist | 100 Perimeter Center Pl Ne, Atlanta, GA 30346-1204 | 2012-10-01 |
| 1063761112 | Kimberly Christine Trinidad | Pharmacist | 100 Perimeter Center Pl Ne, Atlanta, GA 30346-1204 | 2012-09-05 |
| 1316214315 | Charlotte Carney | Pharmacist | 100 Perimeter Center Pl Ne, Atlanta, GA 30346-1204 | 2011-11-19 |
| 1063799500 | Aamani Parchuri | Pharmacist | 100 Perimeter Center Pl Ne, T-2036, Atlanta, GA 30346-1204 | 2011-11-11 |
| 1740569565 | Ruaa Nabil Al-baldawi | Pharmacist | 100 Perimeter Center Pl Ne, Target 2036, Atlanta, GA 30346-1204 | 2011-08-10 |
| 1225322407 | Dana Kay Davis | Pharmacist | 100 Perimeter Center Pl Ne, T-2036, Atlanta, GA 30346-1204 | 2011-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730694332 | Man Fung Lam | Behavioral Analyst | 302 Perimeter Ctr N Apt 2431, Atlanta, GA 30346 | 2017-12-05 |
| 1518413897 | Terre Cheely | Nurse Practitioner | 2 Ravinia Drive Suite 500, Atlanta, GA 30346 | 2016-08-28 |
| 1790139954 | Rachel Brandeis | Dietitian, Registered | 400 Perimeter Center Terrace North, Suite 900, Atlanta, GA 30346 | 2016-04-14 |
| 1952778441 | Kaitlyn Victoria Fredrick | Nurse Practitioner | 41 Perimeter Ctr E Ste 250, Dunwoody, GA 30346 | 2015-08-31 |
| 1689917965 | Taryn Abrams | Psychiatry & Neurology | 41 Perimeter Center East, Suite 250, Dunwoody, GA 30346 | 2013-04-04 |
| 1154683381 | Coby John Lund | Behavioral Analyst | 53 Perimeter Center East, Suite 350, Atlanta, GA 30346 | 2012-06-13 |
| 1306113832 | Shannah Melanie Bachar | Behavioral Analyst | 53 Perimeter Center East Suite 350, Atlanta, GA 30346 | 2011-11-29 |
| 1740561125 | Jblb Holdings, LLC | Electrodiagnostic Medicine | 400 Perimeter Center Ter North, Suite 900, Atlanta, GA 30346 | 2011-08-30 |
| 1215109996 | Alphonso D Porter | Technician/Technologist | 3118-a Washington Rd, East Point, GA 30346 | 2008-04-02 |
| 1437275005 | Elaine Gilner Friedman | Social Worker | 12234 Madison Drive, Atlanta, GA 30346 | 2007-03-22 |
| Find all providers in zip 30346 | ||||
| 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 |
|---|---|---|---|---|
| 1447850466 | Kelsea Brown | Optometrist | 2184 Henderson Mill Rd Ne Ste 12b, Atlanta, GA 30345-3762 | 2020-10-28 |
| 1770101818 | Tony Lam | Optometrist | 2549 Piedmont Rd Ne Ste 120, Atlanta, GA 30324-3023 | 2020-07-06 |
| 1124641329 | Jenna Lee Reid | Optometrist | 1544 Piedmont Ave Ne Ste 320, Atlanta, GA 30324-5018 | 2020-05-21 |
| 1891345575 | Javeya Clark | Optometrist | 3645 Habersham Rd Ne, Atlanta, GA 30305-1130 | 2019-09-16 |
| 1164084687 | Sarah A Flanagan | Optometrist | 5505 Peachtree Dunwoody Ste 300, Atlanta, GA 30342-1713 | 2019-07-04 |
| 1790346476 | 2020atlanta PC | Optometrist | 20 10th St Nw Unit 1101, Atlanta, GA 30309-3868 | 2019-06-24 |
| 1972065456 | Myeyedr Optometry of Georgia, LLC | Optometrist | 860 Peachtree St Ne Ste F, Atlanta, GA 30308-1288 | 2019-04-03 |
| 1467925172 | Muqdisa Hashmi | Optometrist | 3393 Peachtree Rd Ne Ste B128, Atlanta, GA 30326-1197 | 2019-01-04 |
| 1063994481 | Mark Edward Brachmanski | Optometrist | 800 Mount Vernon Highway Ne, Suite 130, Atlanta, GA 30328 | 2018-09-01 |
| 1225518236 | Lianne Ashley Chuck | Optometrist | 2860 Cumberland Mall Se Ste 1440, Atlanta, GA 30339-3963 | 2018-08-19 |
| Find all providers in ATLANTA | ||||
Please comment or provide details below to improve the information on ICARE SPECIALISTS OF WARRIOR, INC..
| 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.