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HIGHLAND EYE BOUTIQUE, LLC
NPI 1285959346
Optometrist in Atlanta, GA

Active since April 01, 2010
1056 N HIGHLAND AVE NE, ATLANTA, GA 30306(404) 343-0887(404) 343-2024 Get Directions Write a Review

NPPES record last updated: May 4, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Highland Eye Boutique, Llc NPPES

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

HIGHLAND EYE BOUTIQUE, LLC (NPI 1285959346) is a healthcare organization registered as an optometrist in Atlanta, Georgia and active in the NPI registry since April 2010. The organization lists Kristie Bennett, Manager, as its authorized official.

NPPES Registry Identity

NPI1285959346
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameHIGHLAND EYE BOUTIQUE, LLC
Location Address1056 N HIGHLAND AVE NEAtlanta, GA 30306-3551
Mailing Address1056 N Highland Ave NeAtlanta, GA 30306-3551 · (404) 343-0887 · Fax (404) 343-2024
Phone(404) 343-0887
Fax(404) 343-2024
Organization SubpartNo
Authorized OfficialKristie BennettManager · (404) 343-0887
Enumeration DateApril 1, 2010
Last NPPES UpdateMay 4, 2016
✔ NPI 1285959346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in GA · OPT002410
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.
1056 N HIGHLAND AVE NE, Atlanta, GA 30306
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Other Identifiers 1

Medicare NSC6404340001GA

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Highland Eye Boutique, 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 Highland Eye Boutique, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kristie Bennett, OD
Optometry
NPI 1427008705
1056 N HIGHLAND AVE NE
Atlanta, GA 30306
(404) 343-0887
✔ PECOS✔ Accepts MedicareSame 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 Highland Eye Boutique, LLC's NPI number?

The NPI number for Highland Eye Boutique, LLC is 1285959346. It was assigned to this organization in the NPPES registry on April 1, 2010.

Where is Highland Eye Boutique, LLC located?

Highland Eye Boutique, LLC is located at 1056 N Highland Ave NE, Atlanta, GA 30306. The listed phone number is (404) 343-0887.

What is Highland Eye Boutique, LLC's specialty?

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

Is Highland Eye Boutique, LLC enrolled in Medicare?

Yes. Highland Eye Boutique, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Highland Eye Boutique, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Highland Eye Boutique, 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.

When was this NPI record last updated?

The NPPES record for Highland Eye Boutique, LLC was last updated on May 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.