MYEYEDR OPTOMETRY OF GEORGIA, LLC (NPI# 1881175339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881175339 |
| Entity Type | Organization |
| Organization Name | MYEYEDR OPTOMETRY OF GEORGIA, LLC |
| Other Organization Name | MYEYEDR |
| Practice Address |
1415 Wooten Lake Rd Nw Ste 100 Kennesaw GA 30144-1342 |
| Mailing Address |
1950 Old Gallows Rd Ste 520 Vienna VA 22182-3970 |
| Practice Telephone | 7704242020 |
| Practice Fax Number | 7704248284 |
| Mailing Telephone | 7038478899 |
| Mailing Fax Number | 8667954020 |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2019-07-11 |
| Authorized Official Name | SUE HEALEY (SECRETARY) |
| Authorized Official Telephone | 7038478899 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| MyEyeDr | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972065456 | Myeyedr Optometry of Georgia, LLC | Optometrist | 860 Peachtree St Ne Ste F, Atlanta, GA 30308-1288 | 2019-04-03 |
| 1386112167 | Myeyedr Optometry of Georgia, LLC | Optometrist | 7203 Hodgson Memorial Dr Ste A, Savannah, GA 31406-1525 | 2018-11-09 |
| 1770033383 | Myeyedr Optometry of Georgia, LLC | Optometrist | 15043 Us Highway 19 S, Thomasville, GA 31792-4869 | 2016-10-06 |
| 1164549366 | Myeyedr Optometry of Georgia, LLC | Optometrist | 14045 Abercorn St Ste 31, Savannah Mall, Savannah, GA 31419-1978 | 2007-03-23 |
| 1083675136 | Myeyedr Optometry of Georgia, LLC | Optometrist | 1014 Northside Dr E, Statesboro, GA 30458-1002 | 2006-03-29 |
| 1689657322 | Myeyedr Optometry of Georgia, LLC | Optometrist | 503 Furys Ferry Rd, Martinez, GA 30907-9059 | 2005-11-28 |
| 1427617042 | Myeyedr Optometry of Georgia, LLC | Optometrist | 109 12th St, Columbus, GA 31901-5245 | 2019-06-07 |
| 1093289084 | Myeyedr Optometry of Georgia, LLC | Optometrist | 4521 17th Ave, Columbus, GA 31904-6344 | 2019-01-14 |
| 1275036154 | Myeyedr Optometry of Georgia, LLC | Optometrist | 2120 Highway 76, Chatsworth, GA 30705-7302 | 2018-03-16 |
| 1790288850 | Myeyedr Optometry of Georgia, LLC | Optometrist | 1044 Avalon Pkwy, Mcdonough, GA 30253-7661 | 2018-03-15 |
| Street Address |
1415 WOOTEN LAKE RD NW STE 100 |
| City | KENNESAW |
| State | GA |
| Zip Code | 30144-1342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942355524 | Hobson Eye Associates LLC | Optometrist | 1415 Wooten Lake Rd Nw Ste 100, Kennesaw, GA 30144-1350 | 2007-01-24 |
| 1851733943 | Jessica Lauren Hall | Optometrist | 1415 Wooten Lake Rd Nw Ste 100, Kennesaw, GA 30144 | 2013-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205440054 | Physician Assistant Surgical Solutions | Surgery | 4290 Bells Ferry Road, Suite 134 - 1032, Kennesaw, GA 30144 | 2020-08-31 |
| 1487149340 | Creative Family Care Inc. | Social Worker | 1275 Shiloh Rd Nw Ste 3030, Kennesaw, GA 30144 | 2018-06-24 |
| 1033632203 | Octavio Andres Tobar | Specialist/Technologist | 1950 Barrett Lakes Blvd Nw Apt 1213, Kennesaw, GA 30144 | 2017-07-19 |
| 1851829220 | Sharon Mcmillan | Counselor | 1301 Shiloh Rd Nw Ste 1840, Kennesaw, GA 30144 | 2017-05-31 |
| 1073054680 | Metropolitan Health Care Plus Inc | Home Health | 445 Laurian Way, Kennesaw, GA 30144 | 2017-03-15 |
| 1649627969 | Caresouth Hha Holdings of Gainesville, LLC | Hospice Care, Community Based | 1000 Cobb Place Blvd Nw Ste 310, Kennesaw, GA 30144 | 2016-05-17 |
| 1851745988 | Joseph Mulligan | Social Worker | 1301 Shiloh Rd., Ste. 849, Kennesaw, GA 30144 | 2016-04-14 |
| 1629438601 | Youfit Health Clubs | Clinic/Center | 3895 Cherokee St Suite 100, Kennesaw, GA 30144 | 2016-03-03 |
| 1598156317 | Jodie Evans | Specialist | 1925 Vaughn Rd, Ste 200, Kennesaw, GA 30144 | 2015-02-16 |
| 1912302134 | Sleepmed Therapies, Inc. | Durable Medical Equipment & Medical Supplies | 1000 Cobb Place Blvd Nw Ste 510, Kennesaw, GA 30144 | 2014-10-30 |
| Find all providers in zip 30144 | ||||
| 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 |
|---|---|---|---|---|
| 1346890100 | Envision Optics LLC | Optometrist | 440 Ernest W Barrett Pkwy Nw Ste 21, Kennesaw, GA 30144-4918 | 2019-09-13 |
| 1669929634 | Town Center Vision Care, LLC | Optometrist | 400 Ernest W Barrett Pkwy Nw Ste 617, Kennesaw, GA 30144-4997 | 2016-09-07 |
| 1629476643 | Seana Corbett | Optometrist | 400 Barrett Pkwy Ste 617, Kennesaw, GA 30144-4997 | 2014-12-08 |
| 1518373646 | Rakeshkumar Lakhani | Optometrist | 3745 Cherokee St Nw Ste 404, Kennesaw, GA 30144-6787 | 2014-07-09 |
| 1164710703 | David Fierce Od LLC | Optometrist | 415 Carl Ridge Dr Nw, Kennesaw, GA 30152-5729 | 2011-07-18 |
| 1306047782 | Patrick Connelly | Optometrist | Town Center Eye Care, 400 Barrett Parkway, Suite 297, Kennesaw, GA 30144-4958 | 2007-05-31 |
| 1750590980 | Frederick C. Shaw | Optometrist | 645 Ernest Barrett Pkwy, Kennesaw, GA 30144 | 2007-05-22 |
| 1043426711 | William Wha Wang | Optometrist | 3105 Cobb Pkwy Nw, Kennesaw, GA 30152-1013 | 2007-05-16 |
| 1144345398 | E Edward Carman | Optometrist | 1615 Ridenour Blvd Nw, Suite #201, Kennesaw, GA 30152-4463 | 2007-03-20 |
| 1184779084 | Mary Najjar Brunner | Optometrist | 2700 Town Center Dr Nw, H-2, Kennesaw, GA 30144-6800 | 2007-01-24 |
| Find all providers in KENNESAW | ||||
Please comment or provide details below to improve the information on MYEYEDR OPTOMETRY OF GEORGIA, LLC.
| 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.