OPTICA LATINA, LLC (NPI# 1992042972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992042972 |
| Entity Type | Organization |
| Organization Name | OPTICA LATINA, LLC |
| Practice Address |
4485 Lawrenceville Hwy Nw Suite 206 Lilburn GA 30047-3669 |
| Practice Telephone | 7706741712 |
| Practice Fax Number | 7706872921 |
| Mailing Telephone | 7706741712 |
| Mailing Fax Number | 7706872921 |
| Enumeration Date | 2013-01-10 |
| Last Update Date | 2013-01-10 |
| Authorized Official Name | LEONEL E COELLO (OWNER) |
| Authorized Official Telephone | 7708151915 |
| Authorized Official Credential | LDO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 156FX1800X |
Technician/Technologist Specialization: Optician |
LDO001948 | GA | Eye and Vision Services Providers |
| Y | 152W00000X | Optometrist | OPT002681 | GA | Eye and Vision Services Providers |
| Street Address |
4485 LAWRENCEVILLE HWY NW SUITE 206 |
| City | LILBURN |
| State | GA |
| Zip Code | 30047-3669 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750861217 | Latrina S Walden | Nurse Practitioner | 887 Ryan Lane, Lilburn, GA 30047 | 2018-08-15 |
| 1811483928 | Olivia Oyegunle | Optometrist | 4153 Lawrenceville Hwy Nw Ste 5, Lilburn, GA 30047 | 2018-07-02 |
| 1932619285 | Mpm Creative, LLC | Speech-Language Pathologist | 1560 Hewatt Rd, Lilburn, GA 30047 | 2017-10-01 |
| 1528515186 | Smith Dental Care of Lilburn, Inc. | Dentist | 3100 Five Forks Trickham Rd Suite 201, Lilburn, GA 30047 | 2016-09-01 |
| 1891143244 | Choices Behavioral Alternatives | Counselor | 4037 Darling Court, Suite B, Lilburn, GA 30047 | 2016-05-26 |
| 1235595687 | Georgia Dental Associates | Clinic/Center | 3100 Five Forks Trickum Road Suite 201, Lilburn, GA 30047 | 2016-01-14 |
| 1912382144 | Sangeetha Asokan | Dentist | 609, Beaver Ruin Road, Tebo Dental for Kids, Lilburn, GA 30047 | 2015-07-29 |
| 1467836403 | Pamela Neal | Registered Nurse | 3315 Landingview Ct, Lilburn, GA 30047 | 2015-07-18 |
| 1699172452 | Josie Kou, Kulah Curran | Registered Nurse | 3708 Tamer Ln, Lilburn, GA 30047 | 2014-11-21 |
| 1184039380 | Cheryl Lee | Chiropractor | 5014 Stone Mountain Hwy, Suite C, Lilburn, GA 30047 | 2014-06-25 |
| Find all providers in zip 30047 | ||||
| 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 |
|---|---|---|---|---|
| 1811483928 | Olivia Oyegunle | Optometrist | 4153 Lawrenceville Hwy Nw Ste 5, Lilburn, GA 30047 | 2018-07-02 |
| 1053689588 | Boski Rohitkumar Amin | Optometrist | 4574 Lawrenceville Hwy Nw Ste 201, Lilburn, GA 30047-3605 | 2011-12-12 |
| 1982939666 | Patel Eye Care PC | Optometrist | 1330 Nash Lee Dr Sw, Lilburn, GA 30047-7641 | 2009-10-13 |
| 1003892019 | Michael R Barnett | Optometrist | 4319 A Lawrenceville Hwy, Lilburn Eyecare, Lilburn, GA 30047 | 2005-12-21 |
| 1093791386 | Joseph Leif Andersen | Optometrist | 4319 Lawrenceville Hwy Nw, Lilburn, GA 30047-3416 | 2005-12-19 |
| 1811134596 | Dr. Amir Borhanipoor Od | Optometrist | 4004 Lawrenceville Hwy Nw, Lilburn, GA 30047-2820 | 2009-01-16 |
| 1740409499 | Susan S. Wood | Optometrist | 3050 Five Forks Trickum Rd Sw, Suite 112, Lilburn, GA 30047-1807 | 2007-04-24 |
| 1316075476 | Joel Rogol | Optometrist | 4030 Lawrenceville Hwy Nw, Lilburn, GA 30047-2820 | 2007-03-01 |
| 1073668307 | Drs. Barnett, Andersen, & Associates, Optometrist, P.C. | Optometrist | 4319 Lawrenceville Hwy Nw, Lilburn, GA 30047-3416 | 2007-01-25 |
| 1326121831 | Amir Borhanipoor | Optometrist | 4004 Lawrenceville Hwy Nw, Lilburn, GA 30047-2820 | 2006-10-20 |
| Find all providers in LILBURN | ||||
Please comment or provide details below to improve the information on OPTICA LATINA, LLC.
| 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.