US VISION OPTICAL INC (NPI# 1144333493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144333493 |
| Entity Type | Organization |
| Organization Name | US VISION OPTICAL INC |
| Other Organization Name | JCPENNEY OPTICAL |
| Practice Address |
1400 Southlake Mall Morrow GA 30260-2328 |
| Mailing Address |
10 Harmon Dr Blackwood NJ 08012-5104 |
| Practice Telephone | 6784221936 |
| Mailing Telephone | 8562281000 |
| Mailing Fax Number | 8562277119 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2007-07-09 |
| Authorized Official Name | MICHAEL R MCPHILLIPS (VP OF VISION CARE) |
| Authorized Official Telephone | 8562281000 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| JCPENNEY OPTICAL | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588051320 | Us Vision Optical Inc | Eyewear Supplier (Equipment, not the service) | 2201 Aberdeen Blvd, Bldg. 2401, Aberdeen Proving Ground, MD 21005-5002 | 2015-04-20 |
| 1194066605 | Us Vision Optical Inc | Eyewear Supplier (Equipment, not the service) | 7115 Northlake Mall Dr, Charlotte, NC 28216-1938 | 2013-03-07 |
| 1871851089 | Us Vision Optical Inc | Eyewear Supplier (Equipment, not the service) | 22500 Town Center Ave, Spanish Fort, AL 36527-9414 | 2012-04-25 |
| 1386956589 | Us Vision Optical Inc | Eyewear Supplier (Equipment, not the service) | 230 Montgomery Mall, North Wales, PA 19454-3904 | 2010-07-06 |
| 1851622211 | Us Vision Optical Inc | Eyewear Supplier (Equipment, not the service) | 11-23 Court Street, Binghamton, NY 13901 | 2010-01-26 |
| 1376874164 | Us Vision Optical Inc | Eyewear Supplier (Equipment, not the service) | 1301 W Patrick St, Federick Towne Mall, Frederick, MD 21702-3810 | 2010-01-19 |
| 1811173255 | Us Vision Optical Inc | Technician/Technologist | 43690 Ford Rd, Canton, MI 48187-3101 | 2008-01-16 |
| 1316123763 | Us Vision Optical Inc | Technician/Technologist | 3333 Market Place Dr, Council Bluffs, IA 51501-8287 | 2008-01-16 |
| 1386839090 | Us Vision Optical Inc | Eyewear Supplier (Equipment, not the service) | 1700 Norman Dr, Valdosta, GA 31601-7404 | 2007-09-06 |
| 1992882369 | Us Vision Optical Inc | Technician/Technologist | 1 Old Orchard Shopping Ctr, Skokie, IL 60077-1406 | 2006-11-01 |
| Street Address |
1400 SOUTHLAKE MALL |
| City | MORROW |
| State | GA |
| Zip Code | 30260-2328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154569069 | Family Eye Care Center of Atlanta, Inc | Optometrist | 1400 Southlake Mall, Morrow, GA 30260-2328 | 2009-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538766605 | C. Alexander Pediatrics LLC | Emergency Medicine | 2180 Rex Road, Morrow, GA 30260 | 2020-10-02 |
| 1578127627 | Osara Dhevmi Malalasekara | Student in an Organized Health Care Education/Training Program | Amc Family Medicine Residency Program, 1000 Corporate Center Dr Suite 200, Morrow, GA 30260 | 2019-04-24 |
| 1902360860 | Katrina Samuels | Technician | 5771 Trammell Rd. Morrow Ga, Morrow, GA 30260 | 2019-01-24 |
| 1679067870 | Atl Sport | Community/Behavioral Health | 5376 Jonesboro Rd, Lake City, GA 30260 | 2018-06-20 |
| 1487184099 | Mamie Rochell Jinks | Driver | 1541 Lakeland Cir, Lake City, GA 30260 | 2017-06-15 |
| 1598202079 | Grace Misi Nteff | Nurse Practitioner | 1000 Clayton Village, Clayton State University, School of Nursing Community, Morrow, GA 30260 | 2017-01-23 |
| 1902357908 | Morrow Family Dentistry, P.C. | Clinic/Center | 6319a Jonesboro Road, Morrow, GA 30260 | 2016-10-14 |
| 1043679418 | Elite Rehab and Weightloss | Chiropractor | 1568 Southlake Pkwy Ste C, Morrow, GA 30260 | 2016-02-15 |
| 1659758985 | Clayton State University | Nurse Practitioner | 5809 Northlake Drive, Bldg 1000, Morrow, GA 30260 | 2015-05-06 |
| 1255731519 | Care First Private Home Care | In Home Supportive Care | 2380 Fairfield Court, Morrow, GA 30260 | 2014-08-23 |
| Find all providers in zip 30260 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861581753 | Sam's Club Optical | Technician/Technologist | 7325 Jonesboro Rd, Morrow, GA 30260-2950 | 2006-10-11 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.