GEORGIA EYE OPTICAL, LLC (NPI# 1922615897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922615897 |
| Entity Type | Organization |
| Organization Name | GEORGIA EYE OPTICAL, LLC |
| Practice Address |
3800 Pleasant Hill Rd Ste 3 Duluth GA 30096 |
| Practice Telephone | 6785840400 |
| Practice Fax Number | 6785840568 |
| Enumeration Date | 2020-09-25 |
| Last Update Date | 2020-09-25 |
| Authorized Official Name | MR. WILLIAM A SEGAL (PRESIDENT) |
| Authorized Official Telephone | 6284271632 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| Street Address |
3800 PLEASANT HILL RD STE 3 |
| City | DULUTH |
| State | GA |
| Zip Code | 30096 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568090868 | Positive Behavior Services, Inc | Behavior Technician | 3765 Crestwood Pkwy Nw, Duluth, GA 30096 | 2020-03-31 |
| 1861031940 | Elizabeth Ashley Edouard | Counselor | 3464 Duluth Hwy 120, Duluth, GA 30096 | 2020-01-06 |
| 1245701044 | Kathryn Irene Vaughn | Social Worker | 3968 Mainsail Court, Duluth, GA 30096 | 2018-12-06 |
| 1083184626 | Aica Orthopedics, P.C. | Orthopaedic Surgery | 3775 Venture Drive Bldg F, Duluth, GA 30096 | 2018-11-27 |
| 1245709799 | Positive Impact Health Centers, Inc. | Pharmacy | 3350 Breckinridge Blvd, Suite 200a, Duluth, GA 30096 | 2018-11-14 |
| 1235611724 | Katherine Winstead Knott | Counselor | 3460 Summit Ridge Parkway, Suite 503, Duluth, GA 30096 | 2018-08-31 |
| 1710467857 | Envision Optics LLC | Optometrist | 1943 Pleasant Hill Rd, Duluth, GA 30096 | 2018-08-17 |
| 1104314202 | Erin Mckernan Scupham | Chiropractor | 3820 Pleasant Hill Rd. Ne, Suite 4, Duluth, GA 30096 | 2018-04-25 |
| 1053839456 | Rogers Bridge Pediatric Therapy, LLC | Clinic/Center | 2845 Summercrest Ln, Duluth, GA 30096 | 2017-09-06 |
| 1851818579 | Ji A Kim | Pharmacist | 2550 Pleasant Hill Road, Suite 120, Duluth, GA 30096 | 2017-08-23 |
| Find all providers in zip 30096 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275698516 | William A Segal | Ophthalmology | 3800 Pleasant Hill Rd, Suite 3, Duluth, GA 30096-1428 | 2006-12-27 |
| 1427015973 | Daniel Ludvic Maryland | Ophthalmology | 332 East Central Entrance, Duluth, MN 55811-5514 | 2006-04-27 |
| 1144296823 | Ann E Bidwell | Ophthalmology | 2070 Pleasant Hill Rd Ste 100, Duluth, GA 30096-4659 | 2006-02-23 |
| 1720059603 | Lisa S Graham | Ophthalmology | 5007 Matterhorn Drive, Duluth, MN 55811-3812 | 2006-01-30 |
| 1568709970 | St. Luke's Hospital of Duluth | Ophthalmology | 324 W Superior St Ste 220, Duluth, MN 55802-1707 | 2013-01-07 |
| 1609137363 | Grishma P Bharucha | Ophthalmology | 400 E 3rd St, Duluth, MN 55805-1951 | 2012-05-30 |
| 1831381243 | Ann O. Igbre | Ophthalmology | 3650 Steve Reynolds Blvd., Kaiser Permanente Gwinnett Medical Center, Duluth, GA 30096 | 2007-08-10 |
| 1356540827 | Charles Earl Ahrens | Ophthalmology | 4190 Loberg Ave, Duluth, MN 55811-2652 | 2007-07-16 |
| 1366580896 | Georgia Eye Physicians & Surgeons | Ophthalmology | 3855 Pleasant Hill Rd, Ste 170, Duluth, GA 30096 | 2007-02-05 |
| 1073603130 | Dennis P Breene | Ophthalmology | 2070 Pleasant Hill Rd Ste 100, Duluth, GA 30096-4659 | 2006-10-12 |
| Find all providers in DULUTH | ||||
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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.