GWINNETT EYE CLINIC
NPI 1619093531
Optometrist in Duluth, GA

NPI Status: Active since March 22, 2007

Contact Information

3455 PEACHTREE INDUSTRIAL BLVD
SUITE 845
DULUTH, GA
ZIP 30096
Phone: (770) 476-3606
Fax: (770) 476-2818

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  • Organization
  • Optometrist

About GWINNETT EYE CLINIC

This page provides the complete NPI Profile along with additional information for Gwinnett Eye Clinic, a provider established in Duluth, Georgia operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1619093531 assigned on March 2007. The practitioner's primary taxonomy code is 152W00000X with license number OPT000841 (). The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Karen E Pitts (Mgn)

NPI
1619093531
Provider Name
GWINNETT EYE CLINIC
Entity Type
Organization
Location Address
3455 PEACHTREE INDUSTRIAL BLVD SUITE 845 DULUTH, GA 30096
Location Phone
(770) 476-3606
Location Fax
(770) 476-2818
Mailing Address
3455 PEACHTREE INDUSTRIAL BLVD SUITE 845 DULUTH, GA 30096
Mailing Phone
(770) 476-3606
Mailing Fax
(770) 476-2818
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-22-2007
Last Update Date
02-25-2009
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Optometrist

Taxonomy Code
152W00000X
Type
Eye and Vision Services Providers
License No.
OPT000841
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KAREN E PITTS

Authorized Official Title
MGN
Authorized Official Phone
(770) 476-3606

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
55435554SAMEDICARE PIN (08)GA 
0842540001MEDICARE NSC (07)GA 
00147672CMEDICAID (05)GA 
T86987MEDICARE UPIN (02)GA 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1619093531
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
262909656
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 2 + 9 + 0 + 9 + 6 + 5 + 6 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1619093531 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 13 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1184703464DR. PHILLIP E JOHNSON O.D.
Individual
Optometrist3455 PEACHTREE INDUSTRIAL BLVD SUITE 845
DULUTH, GA 30096
(770) 476-3606
1730304858DR. LISA MARY BRODSKY D.D.S.
Individual
Dentist3455 PEACHTREE INDUSTRIAL BLVD STE. 805
DULUTH, GA 30096
(770) 814-7533
1548285224THE KROGER CO
Organization
Pharmacy (Community/Retail Pharmacy)3455 PEACHTREE INDUSTRIAL BLVD
DULUTH, GA 30096
(770) 476-7985
1922476308PT SOLUTIONS OF ACWORTH, LLC
Organization
Physical Therapist3455 PEACHTREE INDUSTRIAL BLVD SUITE 825
DULUTH, GA 30096
(678) 534-4727
1851921092 LAUREL IP
Individual
Pharmacist3455 PEACHTREE INDUSTRIAL BLVD
DULUTH, GA 30096
(770) 476-7985
1982607222MEDICAL AID SUPPLY HOUSE INC
Organization
Prosthetic/Orthotic Supplier3455 PEACHTREE INDUSTRIAL BLVD STE 980
DULUTH, GA 30096
(770) 622-1211
1447858931 JIMIN SUN
Individual
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)3455 PEACHTREE INDUSTRIAL BLVD
DULUTH, GA 30096
(770) 476-7985
1053910018 LORA SUE HENDERSON PHARMD
Individual
Pharmacist3455 PEACHTREE INDUSTRIAL BLVD
DULUTH, GA 30096
(770) 476-7985
1639778459 CALVIN SO
Individual
Pharmacist3455 PEACHTREE INDUSTRIAL BLVD
DULUTH, GA 30096
(770) 476-7985
1679177513DR. TAYLOR BAILEY PHARMD
Individual
Pharmacist3455 PEACHTREE INDUSTRIAL BLVD
DULUTH, GA 30096
(770) 476-7985
1326711698 EMILY SMITH PHARMD
Individual
Pharmacist3455 PEACHTREE INDUSTRIAL BLVD
DULUTH, GA 30096
(770) 476-7985
1790152858DR. FABIUS CLEMENTS IV O.D.
Individual
Optometrist3455 PEACHTREE INDUSTRIAL BLVD SUITE 845
DULUTH, GA 30096
(770) 476-3606
1528546694 COREY SCOTT ARNOLD PT, DPT
Individual
Physical Therapist3455 PEACHTREE INDUSTRIAL BLVD
DULUTH, GA 30096
(678) 534-4727

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619093531, enumerated in the NPI registry as an "organization" on March 22, 2007

The provider is located at 3455 Peachtree Industrial Blvd Suite 845 Duluth, Ga 30096 and the phone number is (770) 476-3606

This medical organization specializes in Optometrist with taxonomy code 152W00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on March 22, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.