1. Home
  2. Directory
  3. Georgia
  4. Johns Creek
  5. Optometrist
  6. NPI Profile

UPTOWN EYE BOUTIQUE
NPI 1679240402
Optometrist - Corneal and Contact Management in Johns Creek, GA

Active since August 28, 2021
9700 MEDLOCK BRIDGE RD STE 120B, JOHNS CREEK, GA 30097(770) 558-1850(678) 691-8056 Get Directions Write a Review

NPPES record last updated: November 28, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 28, 2021, Aug 28, 2021 (2 updates tracked since 2021).

About Uptown Eye Boutique NPPES

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

UPTOWN EYE BOUTIQUE (NPI 1679240402) is a healthcare organization registered as a corneal and contact management in Johns Creek, Georgia and active in the NPI registry since August 2021. The organization lists Brian Schultz, Optometrist/owner, as its authorized official.

NPPES Registry Identity

NPI1679240402
Entity TypeOrganization
Primary Taxonomy152WC0802X
Legal Business NameMAGGIE MOOO LLC
Location Address9700 MEDLOCK BRIDGE RD STE 120BJohns Creek, GA 30097-4408
Mailing Address9700 Medlock Bridge Rd Ste 120bJohns Creek, GA 30097-4408 · (248) 320-8059
Phone(770) 558-1850
Fax(678) 691-8056
Organization SubpartNo
Authorized OfficialBrian SchultzOptometrist/owner · (248) 320-8059
Enumeration DateAugust 28, 2021
Last NPPES UpdateNovember 28, 20212 updates tracked since enumeration
NPPES CertifiedNovember 28, 2021
✔ NPI 1679240402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometrist · Corneal and Contact ManagementEye and Vision Services Providers
Taxonomy Code152WC0802X
Definition
The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.
9700 MEDLOCK BRIDGE RD STE 120B, Johns Creek, GA 30097
Open in Google Maps ↗

Other Names 1

Doing Business AsUptown Eye Boutique

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Uptown Eye Boutique is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateGeorgiaEnrollment IDO20211213002141Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Uptown Eye Boutique, which bills Medicare for the services this clinician delivers.

Clinician (1)

Brian Schultz, O.D.
Optometry
NPI 1467563924
97000 MEDLOCK BRIDGE RD SW120B
Johns Creek, GA 30097
(770) 558-1850
✔ PECOS✔ Accepts Medicare1.4 mi

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 Maggie Mooo LLC's NPI number?

The NPI number for Maggie Mooo LLC is 1679240402. It was assigned to this organization in the NPPES registry on August 28, 2021. The provider is doing business as Uptown Eye Boutique.

Where is Maggie Mooo LLC located?

Maggie Mooo LLC is located at 9700 Medlock Bridge Rd Ste 120B, Johns Creek, GA 30097. The listed phone number is (770) 558-1850.

What is Maggie Mooo LLC's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Corneal and Contact Management, with taxonomy code 152WC0802X.

Is Maggie Mooo LLC enrolled in Medicare?

Yes. Maggie Mooo LLC is registered in the Medicare PECOS enrollment system.

When is Maggie Mooo LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Georgia, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Maggie Mooo LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Maggie Mooo 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 Maggie Mooo LLC was last updated on November 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.