EYE OPTIQUE, INC. (NPI# 1912108119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912108119 |
| Entity Type | Organization |
| Organization Name | EYE OPTIQUE, INC. |
| Other Organization Name | EYE OPTIQUE |
| Practice Address |
10800 Alpharetta Hwy Suite 220 Roswell GA 30076-1490 |
| Practice Telephone | 7706427720 |
| Practice Fax Number | 7706426651 |
| Mailing Telephone | 7706427720 |
| Mailing Fax Number | 7706426651 |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. EDWARD T. KLEINMAN (PRESIDENT) |
| Authorized Official Telephone | 7706427720 |
| Authorized Official Credential | LDO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
0604 | GA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | NVA PROVIDER NUMBER | 110084 | 01 |
| GA | SPECTERA PROVIDER NUMBER | 07526 | 01 |
| Other Name | Type Code |
|---|---|
| Eye Optique | Doing Business As Name - Organization |
| Street Address |
10800 ALPHARETTA HWY SUITE 220 |
| City | ROSWELL |
| State | GA |
| Zip Code | 30076-1490 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518084961 | Edward T. Kleinman | Technician/Technologist | 10800 Alpharetta Hwy, Suite 220, Roswell, GA 30076-1490 | 2007-03-23 |
| 1972952273 | Royal Home Care | In Home Supportive Care | 10800 Alpharetta Hwy, Roswell, GA 30076-1490 | 2016-06-07 |
| 1487905782 | Connect Hearing, Inc. | Audiologist | 10800 Alpharetta Hwy, Ste 198, Roswell, GA 30076-1490 | 2012-09-26 |
| 1265706782 | Julie Ann St. Vrain | Audiologist | 10800 Alpharetta Hwy, #122, Roswell, GA 30076-1490 | 2012-03-01 |
| 1598037426 | Abundant Life Assisted Seravices Inc | Custodial Care Facility | 10800 Alpharetta Hwy, Suite 208- 713, Roswell, GA 30076-1490 | 2012-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275505 | Apex Spine and Neurosurgery LLC | Neurological Surgery | 1295 Hembree Rd Ste 200 Bldg B, Roswell, GA 30076 | 2020-11-06 |
| 1841776689 | Scott Gunter Brunson | Hearing Instrument Specialist | 777 Old Roswell Pl # E100, Roswell, GA 30076 | 2018-07-16 |
| 1861998197 | Daniel B Charek | Clinical Neuropsychologist | 11685 Alpharetta Hwy Ste 170, Roswell, GA 30076 | 2018-04-04 |
| 1427575554 | A One Home Care, Inc. | In Home Supportive Care | 1875 Old Alabama Road, Suite 420, Roswell, GA 30076 | 2017-08-29 |
| 1053836023 | Madelon Morgan | Counselor | 555 Sun Valley Dr Bldg F, Roswell, GA 30076 | 2017-08-10 |
| 1245769637 | Family Behavioral Health, LLC | Clinic/Center | 9275 Martin Rd, Roswell, GA 30076 | 2017-06-08 |
| 1093163750 | Ryann Soutar | Counselor | 702 Macy Dr, Roswell, GA 30076 | 2016-06-02 |
| 1447618707 | Concierge Medical Mgmt Group | Contractor | 760 Old Roswell Rd Ste 117, Roswell, GA 30076 | 2016-02-02 |
| 1063877710 | Augustine Young | Community/Behavioral Health | 427 Royal Creek Dr, Roswell, GA 30076 | 2015-12-23 |
| 1710360441 | Currents Massage LLC | Massage Therapist | 760 Old Roswell Road, Suite 230, Roswell, GA 30076 | 2015-06-30 |
| Find all providers in zip 30076 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518084961 | Edward T. Kleinman | Technician/Technologist | 10800 Alpharetta Hwy, Suite 220, Roswell, GA 30076-1490 | 2007-03-23 |
| 1902920093 | Sam's Club Optical | Technician/Technologist | 4400 North Main St, Roswell, NM 88201 | 2007-03-16 |
| 1972038933 | Gazal Eyecare | Technician/Technologist | 76 Norcross St, Suite B, Roswell, GA 30075-3866 | 2017-04-27 |
| 1295177632 | John Brent Seilheimer | Technician/Technologist | 107 W 6th St, Roswell, NM 88201-4801 | 2013-07-26 |
| 1154459006 | Pro-optical Express Ltd. | Technician/Technologist | 207 N Union Ave, Roswell, NM 88201-3068 | 2007-03-01 |
| 1770673386 | Wal-mart Stores East, Lp | Technician/Technologist | 970 Mansell Rd, Roswell, GA 30076-1506 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427667302 | Carole F Medou | Technician/Technologist | 57 Hurricane Shoals Rd Nw Ste A, Lawrenceville, GA 30046-5396 | 2020-07-28 |
| 1255966206 | Steven W Burton | Technician/Technologist | 2498 Wingfield Dr, Austell, GA 30106-1762 | 2020-03-10 |
| 1477185205 | Dale A Klauss | Technician/Technologist | 294 Kenwood Rd Ste A, Fayetteville, GA 30214-3451 | 2020-02-10 |
| 1104380682 | National Vision Inc | Technician/Technologist | 97 Parkway Dr, Fort Oglethorpe, GA 30742-4249 | 2019-01-29 |
| 1134683600 | National Vision Inc | Technician/Technologist | 3159 Highway 278 Ne, Covington, GA 30014-2301 | 2019-01-29 |
| 1255818993 | Kerryn Castellon | Technician/Technologist | 55 Sudderth St, Buford, GA 30518-3335 | 2018-07-25 |
| 1770075731 | National Vision, Inc. | Technician/Technologist | 916 Loganville Hwy Ste 300, Bethlehem, GA 30620-2145 | 2018-06-05 |
| 1598262487 | National Vision, Inc. | Technician/Technologist | 534 Marketplace Pkwy Ste 740, Dawsonville, GA 30534-7549 | 2018-04-09 |
| 1720582992 | Amos D Washington | Technician/Technologist | 10269 Industrial Blvd Ne, Covington, GA 30014-1485 | 2018-03-21 |
| 1619490489 | Lisa Stonebraker | Technician/Technologist | 105 E Main St Ste 116, Woodstock, GA 30188-5013 | 2017-07-24 |
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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.