NPI age
17 years
Enumerated 2009-01-31
● Active Type 2 · Organization
Subpart
Optical Shop At Athens Eye Associates, Inc.
Optical Shop At Athens Eye Associates, Inc. is 1 of 526 eyewear supplier organizations in Georgia.
Primary specialty
Eyewear Supplier
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Jacobs
President
Last NPPES update
2012-08-29
Source: monthly bulk 2026-05
How this organization compares
Across 526 active eyewear supplier providers in Georgia.
NPI age
17 years
↓ 2 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2009 → 2026
2009-01Enumerated in NPPES
2009
2026
Where they practice
Primary practice location
1080 Vend Dr, Suite 100
Bogart, GA 306223051
Mailing address
1080 Vend Dr, Suite 100
Bogart, GA 306223051
Authorized official
Michael S. Jacobs, M.D.
President
📞 7065497047
Specialties
-
Eyewear Supplier PrimaryAn organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 6325700001 | HUMANA |
| 01 (GA) | 6325700001 | UNITED HEALTHCARE |
Practice context
Single-site organization. Only one practice location on file.
Subpart of Athens Eye Associates, P.c..
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.