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ENVISION EYECARE LLC
NPI 1407246010
Optometrist in Lithia Springs, GA

Active since February 03, 2015
1100 THORNTON RD, LITHIA SPRINGS, GA 30122(770) 819-4981 Get Directions Write a Review

NPPES record last updated: November 16, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 16, 2023, Oct 5, 2021, Jun 22, 2020 (3 updates tracked since 2020).

About Envision Eyecare Llc NPPES

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

ENVISION EYECARE LLC (NPI 1407246010) is a healthcare organization registered as an optometrist in Lithia Springs, Georgia and active in the NPI registry since February 2015. The organization maintains 3 additional practice locations and lists Ratidzo Bonnie Macharaga, Owner/optometrist, as its authorized official.

NPPES Registry Identity

NPI1407246010
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameENVISION EYECARE LLC
Location Address1100 THORNTON RDLithia Springs, GA 30122-2616
Mailing Address541 10th St Nw # 285Atlanta, GA 30318-5713
Phone(770) 819-4981
Organization SubpartNo
Authorized OfficialRatidzo Bonnie MacharagaOwner/optometrist · (404) 290-3700
Enumeration DateFebruary 3, 2015
Last NPPES UpdateNovember 16, 20233 updates tracked since enumeration
NPPES CertifiedNovember 16, 2023
✔ NPI 1407246010 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 · OPT002829
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.
1100 THORNTON RD, Lithia Springs, GA 30122
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Secondary Practice Locations 3

Location 1404 Hwy 27 N BypBremen, GA 30110-1950 · Phone (770) 537-6386
Location 2600 Carrollton Villa Rica HwyVilla Rica, GA 30180-4969 · Phone (770) 459-8733
Location 31735 S Highway 27Carrollton, GA 30117-8941 · Phone (770) 214-7310

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)

Envision Eyecare 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 Envision Eyecare LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ratidzo Zgambo, OD
Optometry
NPI 1497161327
1100 THORNTON RD
Lithia Springs, GA 30122
(770) 819-4981
✔ 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 Envision Eyecare LLC's NPI number?

The NPI number for Envision Eyecare LLC is 1407246010. It was assigned to this organization in the NPPES registry on February 3, 2015.

Where is Envision Eyecare LLC located?

Envision Eyecare LLC is located at 1100 Thornton Rd, Lithia Springs, GA 30122. The listed phone number is (770) 819-4981.

What is Envision Eyecare LLC's specialty?

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

Is Envision Eyecare LLC enrolled in Medicare?

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

How many clinicians bill Medicare through Envision Eyecare LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Envision Eyecare 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 Envision Eyecare LLC was last updated on November 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.