GRACE ENVISION LLC
NPI 1003566779
Optometrist in Johns Creek, GA

Q: What is Grace Envision LLC's NPI number?

The NPI number for Grace Envision LLC is 1003566779. It was assigned to this organization in the NPPES registry on March 25, 2022.

Q: What is Grace Envision LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since March 25, 2022

10475 MEDLOCK BRIDGE RD STE 104, JOHNS CREEK, GA 30097(404) 293-5990 Get Directions Write a Review

NPPES record last updated: July 6, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Grace Envision Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRACE ENVISION LLC (NPI 1003566779) is a healthcare organization registered as an optometrist in Johns Creek, Georgia and active in the NPI registry since March 2022. The organization lists Haiying Cheng, Owner, as its authorized official.

NPPES Registry Identity

NPI1003566779

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameGRACE ENVISION LLC

Location Address10475 MEDLOCK BRIDGE RD STE 104Johns Creek, GA 30097-4434

Mailing Address1212 Rising Moon TrlSnellville, GA 30078-7395 · (404) 293-5990

Phone(404) 293-5990

Organization SubpartNo

Authorized OfficialHaiying ChengOwner · (404) 293-5990

Enumeration DateMarch 25, 2022

Last NPPES UpdateJuly 6, 2023

NPPES CertifiedJuly 5, 2023

✔ NPI 1003566779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Definition

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.

10475 MEDLOCK BRIDGE RD STE 104, Johns Creek, GA 30097

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grace Envision Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Grace Envision LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Haiying Cheng, O.D

Optometry

NPI 1366876310

10475 MEDLOCK BRIDGE RD STE 104
Johns Creek, GA 30097

(404) 293-5990

✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grace Envision LLC's NPI number?

The NPI number for Grace Envision LLC is 1003566779. It was assigned to this organization in the NPPES registry on March 25, 2022.

Where is Grace Envision LLC located?

Grace Envision LLC is located at 10475 Medlock Bridge Rd Ste 104, Johns Creek, GA 30097. The listed phone number is (404) 293-5990.

What is Grace Envision LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Grace Envision LLC enrolled in Medicare?

Yes. Grace Envision LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Grace Envision LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Grace Envision LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Grace Envision LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 6 other insurers list Grace Envision LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Grace Envision LLC was last updated on July 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.