OPTIQUE AT BROOKHAVEN, LLC (NPI# 1679878524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679878524 |
| Entity Type | Organization |
| Organization Name | OPTIQUE AT BROOKHAVEN, LLC |
| Other Organization Name | REFLECTIONS EYECARE |
| Practice Address |
305 Brookhaven Ave Sw 1110 Atlanta GA 30319-4316 |
| Practice Telephone | 4048168889 |
| Practice Fax Number | 4048168890 |
| Mailing Telephone | 4048168889 |
| Mailing Fax Number | 4048168890 |
| Enumeration Date | 2011-01-24 |
| Last Update Date | 2011-03-08 |
| Authorized Official Name | DR. BRIAN E SCHULTZ (OPTOMETRIST) |
| Authorized Official Telephone | 2483208059 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
OPTOO2338 | GA | Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| Reflections Eyecare | Doing Business As Name - Organization |
| Street Address |
305 BROOKHAVEN AVE SW 1110 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30319-4316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215556717 | Ronika Cotton | Marriage & Family Therapist | 2002 Summit Boulevard, Suite 300, Atlanta, GA 30319 | 2020-04-14 |
| 1093369548 | Gordon Peace | Physical Therapist | 705 Town Blvd Ne S 550, Atlanta, GA 30319 | 2019-08-01 |
| 1124682281 | Tiffany Nicole Blamble | Physician Assistant | 2235 Briarwood Way Ne, Brookhaven, GA 30319 | 2019-04-24 |
| 1891286860 | Sandy Springs Center for Urologic Surgery LLC | Clinic/Center | 1450 S Johnson Ferry Rd Ste 100, Atlanta, GA 30319 | 2018-05-24 |
| 1578070355 | Aaron Knott | Physical Therapist | 4260 Peachtree Road, Atlanta, GA 30319 | 2018-01-03 |
| 1639683832 | Lauren Hamann | Physical Therapist | 3777 Peachtree Rd Ne Apt 933, Brookhaven, GA 30319 | 2017-11-27 |
| 1760993984 | Caroline M. Brackette | Counselor | 2002 Summit Blvd Ste 300, Brookhaven, GA 30319 | 2017-10-15 |
| 1700328713 | Christina Head | Counselor | 1350 Dresden Drive, Atlanta, GA 30319 | 2016-11-08 |
| 1528432572 | Hillary Allyn Olivier | Occupational Therapist | 3747 Peachtree Rd, Atlanta, GA 30319 | 2015-11-13 |
| 1285025304 | Karl Weismantel | Physical Therapy Assistant | 1000 Lenox Park Blvd, Atlanta, GA 30319 | 2015-02-11 |
| Find all providers in zip 30319 | ||||
| Taxonomy Code | 152WC0802X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Corneal and Contact Management |
| The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea’s ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225161185 | Robert Joseph Barnes | Optometrist | 650 Ponce De Leon Ave Ne, Suite 630a, Atlanta, GA 30308-1804 | 2007-03-13 |
| 1538113600 | Gilbert Donald Spindel Jr. | Optometrist | 4505 Ashford Dunwoody Road, Suite 15, Atlanta, GA 30346-1516 | 2006-05-21 |
| 1578553616 | Debra Marie Stone | Optometrist | 800 Mt Vernon Hwy, Suite 125, Atlanta, GA 30328-4295 | 2005-10-27 |
| 1902190739 | Buckhead Vision Inc | Optometrist | 2900 Peachtree Rd Nw, Suite 301, Atlanta, GA 30305-4915 | 2011-06-09 |
| 1508900549 | Rohit Sharma | Optometrist | 3071 Campbellton Rd Sw, Suite #1, Atlanta, GA 30311-5441 | 2007-02-15 |
| 1265523831 | Kenneth Allen Jones | Optometrist | 6350 Peachtree Dunwoody Rd, Atlanta, GA 30328 | 2006-09-27 |
| 1558468744 | Vision Correction Group | Optometrist | 301 Perimeter Ctr N, Suite 600, Atlanta, GA 30346-2405 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437791076 | Shipley & Wayland Eyecare LLC | Optometrist | 7768 Cumming Hwy Ste 500, Canton, GA 30115-2984 | 2019-10-15 |
| 1023463528 | Eminence Family Eyecare, LLC | Optometrist | 6300 Atlanta Hwy # 9, Suite 101a, Alpharetta, GA 30004-7821 | 2016-05-03 |
| 1689066284 | Dr James L Purvis, LLC | Optometrist | 7104 Waterstone Pl, Buford, GA 30518-5125 | 2015-02-19 |
| 1306146154 | Thanh Dau | Optometrist | 1250 Scenic Highway, Ste 1268, Lawrenceville, GA 30045 | 2010-10-27 |
| 1952617300 | Sima Dori | Optometrist | 2204 Cherring Ln, Dunwoody, GA 30338-5229 | 2010-08-24 |
| 1720217771 | Advanced Eye Associates LLC | Optometrist | 2645 Dallas Hwy Sw, Suite 100, Marietta, GA 30064-2541 | 2009-07-13 |
| 1750541355 | Mcarthur Griffin | Optometrist | 1700 Mount Zion Rd, Morrow, GA 30260-3014 | 2008-06-17 |
| 1942428362 | Farhad Kapadia | Optometrist | 2994 Turner Hill Rd, Lithonia, GA 30038-2526 | 2007-04-23 |
| 1326174400 | John Christy Snyder | Optometrist | 135 N Broad St, Winder, GA 30680-2110 | 2007-02-26 |
| 1619010832 | Maria Bencsath | Optometrist | 360 W Church St, Jasper, GA 30143-1400 | 2007-02-15 |
| 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.