JOSEPH OPTICAL (NPI# 1730510959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730510959 |
| Entity Type | Organization |
| Organization Name | JOSEPH OPTICAL |
| Other Organization Name | PEARLE VISION |
| Practice Address |
1455 Riverstone Pkwy Suite 110 Canton GA 30114 |
| Practice Telephone | 7704790500 |
| Practice Fax Number | 7707200104 |
| Mailing Telephone | 7704790500 |
| Mailing Fax Number | 7707200104 |
| Enumeration Date | 2013-12-13 |
| Last Update Date | 2013-12-13 |
| Authorized Official Name | KEITH BACHMANN (OWNER) |
| Authorized Official Telephone | 7704790500 |
| 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) | LDO001279 | GA | Suppliers |
| Other Name | Type Code |
|---|---|
| Pearle Vision | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629307830 | Joseph Optical | Technician/Technologist | 1455 Riverstone Pkwy, Suite 110, Canton, GA 30114-5627 | 2009-12-17 |
| Street Address |
1455 RIVERSTONE PKWY SUITE 110 |
| City | CANTON |
| State | GA |
| Zip Code | 30114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619516093 | Wickshire Canton Opco LLC | Assisted Living Facility | 125 Riverstone Terrace, Canton, GA 30114 | 2020-01-02 |
| 1154803583 | Alixandra Nicole Flournoy | Physical Therapist | 131 Holly Street, Canton, GA 30114 | 2018-09-01 |
| 1588157341 | Provident Group - Canton Cove Properties LLC | Alzheimer Center (Dementia Center) | 1100 Reinhardt College Parkway, Canton, GA 30114 | 2018-06-07 |
| 1003233107 | Heartland Dental Care of Georgia | Dentist | 3237 Sixes Rd, Canton, GA 30114 | 2014-03-26 |
| 1629313036 | Ramona Morton Rasmussen | Occupational Therapist | 200 Riverstone Drive, Suite B, Canton, GA 30114 | 2012-12-11 |
| 1902154875 | Yong Qiao Luo | Acupuncturist | 200 Oakside Lane, Suite D, Canton, GA 30114 | 2012-08-26 |
| 1215294350 | Christina Lynn Hernandez | Pediatrics | 1558 Riverstone Pkwy Ste 100, Canton, GA 30114 | 2012-04-13 |
| 1558638981 | Stephen E Byrd | Counselor | 191 Lamar Haley Pkwy., Canton, GA 30114 | 2011-11-30 |
| 1073807855 | Sheri Sullins Buckley | Nurse Practitioner | 120 Oakside Ct Ste H, Canton, GA 30114 | 2011-06-08 |
| 1326342098 | Eva Diane Martin | Counselor | 2920 Marietta Highway, Suite 146, Canton, GA 30114 | 2011-01-10 |
| Find all providers in zip 30114 | ||||
| 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 |
|---|---|---|---|---|
| 1730546334 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 42400 Ford Rd, Canton, MI 48187-3337 | 2016-01-27 |
| 1598075160 | Direct Optical of Canton, LLC | Eyewear Supplier (Equipment, not the service) | 41840 Ford Road, Canton, MI 48187 | 2010-10-18 |
| 1467781682 | Plaza Optical | Eyewear Supplier (Equipment, not the service) | 1130 30th St Nw, Canton, OH 44709-2921 | 2009-12-17 |
| 1528209970 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 5151 Dressler Road Nw, Canton, OH 44718 | 2009-03-16 |
| 1609047422 | Vision Center PC | Eyewear Supplier (Equipment, not the service) | 325 N. Lilley Rd., Canton, MI 48187-3908 | 2008-03-19 |
| 1427230028 | Bella Vista Total Eyecare | Eyewear Supplier (Equipment, not the service) | 7168 Fulton Dr Nw, Suite 111, Canton, OH 44718-1523 | 2007-12-05 |
| 1568522944 | Fisher Foods Marketing Inc | Eyewear Supplier (Equipment, not the service) | 1363 Cherry Ave Ne, Canton, OH 44714-2528 | 2006-12-08 |
| 1205919826 | William M Chapman | Eyewear Supplier (Equipment, not the service) | 3017b Cleveland Ave Sw, Chapmans Canton South Optical, Canton, OH 44707-3625 | 2006-10-24 |
| 1316032352 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 4157 Belden Village Mall, Canton, OH 44718-2501 | 2006-10-04 |
| 1134133119 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 4300 Tuscarawas St W, Canton, OH 44708-5427 | 2006-07-28 |
| Find all providers in CANTON | ||||
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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.