FAMILY EYE CARE CENTER OF ATLANTA, INC (NPI# 1154569069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154569069 |
| Entity Type | Organization |
| Organization Name | FAMILY EYE CARE CENTER OF ATLANTA, INC |
| Practice Address |
1400 Southlake Mall Morrow GA 30260-2328 |
| Mailing Address |
1270 Caroline St Ne Suite D120-377 Atlanta GA 30307-2758 |
| Practice Telephone | 6784221936 |
| Practice Fax Number | 6784221936 |
| Mailing Telephone | 2023207373 |
| Mailing Fax Number | 6782989903 |
| Enumeration Date | 2009-01-30 |
| Last Update Date | 2009-01-30 |
| Authorized Official Name | DR. TAKEIA J LOCKE (CEO) |
| Authorized Official Telephone | 2023207373 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152WP0200X |
Optometrist Specialization: Pediatrics |
OPT002490 | GA | Eye and Vision Services Providers |
| N | 152WS0006X |
Optometrist Specialization: Sports Vision |
OPT002490 | GA | Eye and Vision Services Providers |
| N | 152WV0400X |
Optometrist Specialization: Vision Therapy |
OPT002490 | GA | Eye and Vision Services Providers |
| Y | 152W00000X | Optometrist | OPT002490 | GA | Eye and Vision Services Providers |
| Street Address |
1400 SOUTHLAKE MALL |
| City | MORROW |
| State | GA |
| Zip Code | 30260-2328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144333493 | Us Vision Optical Inc | Technician/Technologist | 1400 Southlake Mall, Morrow, GA 30260-2328 | 2006-08-17 |
| 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 | 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 |
|---|---|---|---|---|
| 1538686720 | First Envision Optics LLC | Optometrist | 6735 Jonesboro Rd, Morrow, GA 30260-2306 | 2017-08-28 |
| 1043567332 | Adam J Fannin | Optometrist | 3600 E Us 22 and 3, Morrow, OH 45152-9688 | 2012-08-06 |
| 1407034044 | Ebony Yohari Browne | Optometrist | 8020 Mall Parkway, Morrow, GA 30260 | 2008-02-06 |
| 1316094576 | Eye Care Centers Management Inc | Optometrist | 1000 Corporate Center Dr Ste 100, Morrow, GA 30260-4106 | 2007-01-03 |
| 1881752590 | Albert Edward Barker | Optometrist | 1363 Mt Zion Road, Morrow, GA 30260 | 2006-12-05 |
| 1992872295 | R Dale Anderson | Optometrist | 1544 Southlake Pkwy, Suite 9-b, Morrow, GA 30260-3025 | 2006-11-29 |
| 1023115938 | Joseph F Chatfield Jr. | Optometrist | 3600 E Us Highway 22 and 3, Morrow, OH 45152-9688 | 2006-09-20 |
| 1760478515 | Tommy Joel Byars | Optometrist | 5916 Jonesboro Rd, Morrow, GA 30260-1103 | 2005-09-26 |
| 1023002540 | Kirk L Smick | Optometrist | 1000 Corporate Center Drive, Suite 100, Morrow, GA 30260-4180 | 2005-09-12 |
| 1467454272 | Darrell Lawrence Brautigam | Optometrist | 7175 Jonesboro Rd, Morrow, GA 30260-2943 | 2005-08-11 |
| Find all providers in MORROW | ||||
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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.