FASHION OPTICAL, INC. (NPI# 1649495938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649495938 |
| Entity Type | Organization |
| Organization Name | FASHION OPTICAL, INC. |
| Practice Address |
3024 Martin Luther King Jr Dr Sw Suite B Atlanta GA 30311-1515 |
| Practice Telephone | 4046916222 |
| Practice Fax Number | 4046919988 |
| Mailing Telephone | 4046916222 |
| Mailing Fax Number | 4046919988 |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. GARY GRAHAM (SENIOR OPTICIAN) |
| Authorized Official Telephone | 4046916222 |
| Authorized Official Credential | L.D.O |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | LDO001037 | GA | Suppliers |
| Street Address |
3024 MARTIN LUTHER KING JR DR SW SUITE B |
| City | ATLANTA |
| State | GA |
| Zip Code | 30311-1515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528612694 | Modern Internal Medicine Urgent Care and Primary Care Inc | Clinic/Center | 2457 Martin Luther King Jr, Dr, Sw, Suit A, Atlanta, GA 30311 | 2019-07-27 |
| 1528515053 | Cherese Williams | Counselor | 2636 M L K Jr Dr Sw, Suite 22, Atlanta, GA 30311 | 2016-09-01 |
| 1558754168 | James Edwin Wagner | Licensed Practical Nurse | 377 Peyton Road S W, Atlanta, GA 30311 | 2015-03-07 |
| 1790180131 | Johnny L Johnson | Nutritionist | 3030 Cambelton Rd, Atlanta, GA 30311 | 2014-10-28 |
| 1770718330 | Clayton E. Bell Sr. | Chiropractor | 2905 Campbellton Road, Suite G, Atlanta, GA 30311 | 2009-05-26 |
| 1720243207 | Farida Zohouri | Counselor | 2536 Martin Luther King Jr. Dr. Sw, Atlanta, GA 30311 | 2008-07-23 |
| 1649348962 | Mona Elaine Reynolds | Chiropractor | 3079 Campbellton Road, Suite 205, Atlanta, GA 30311 | 2006-12-04 |
| 1245337211 | Loreen C Doyle-littles | Pediatrics | 1175 Cascade Pkwy, Pediatrics Health Care Team A, Atlanta, GA 30311 | 2006-09-20 |
| 1740383512 | Georgia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2429 Martin Luther King Jr. Dr., Atlanta, GA 30311 | 2006-09-07 |
| 1407806359 | Booker T Poe | Pediatrics | 2600 Martin Luther King Jr Dr, Ste 202, Atlanta, GA 30311 | 2006-05-11 |
| Find all providers in zip 30311 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407461700 | United Vision Plans Inc | Eyewear Supplier (Equipment, not the service) | 669 Longwood Dr Nw, Atlanta, GA 30305-3903 | 2020-09-14 |
| 1538686894 | Jand Inc. | Eyewear Supplier (Equipment, not the service) | 274 Buckhead Ave Ne, Atlanta, GA 30305-2208 | 2017-08-28 |
| 1619494978 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 1198 Howell Mill Rd Nw Ste 300, Atlanta, GA 30318-5626 | 2017-08-28 |
| 1528416120 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 375 18th St, Atlanta, GA 30363 | 2016-05-25 |
| 1548587488 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 2778 Cobb Pkwy, Atlanta, GA 30339-8123 | 2010-05-03 |
| 1760614259 | Atlanta Vision Optical | Eyewear Supplier (Equipment, not the service) | 1215 Caroline St Ne, Suite H-100, Atlanta, GA 30307-2775 | 2009-08-17 |
| 1699921114 | U S Vision Optical Inc | Eyewear Supplier (Equipment, not the service) | 1300 Cumberland Mall, Atlanta, GA 30339 | 2008-08-15 |
| 1538383286 | National Optic Provider | Eyewear Supplier (Equipment, not the service) | 2740 Greenbriar Pkwy Sw, Suite A-3, Atlanta, GA 30331-2627 | 2007-04-12 |
| 1194879221 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 3393 Peachtree Rd Ne, Atlanta, GA 30326-1162 | 2007-01-23 |
| 1003969577 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 100 Perimeter Center W, Atlanta, GA 30346-1755 | 2007-01-19 |
| Find all providers in ATLANTA | ||||
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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.