ADVANCED EYE ASSOCIATES LLC
NPI 1720217771
Optometrist - Corneal and Contact Management in Marietta, GA
NPI Status: Active since July 13, 2009
Contact Information
2645 DALLAS HWY SW
SUITE 100
MARIETTA, GA
ZIP 30064
Phone: (770) 422-8002
Fax: (770) 422-4618
- Organization
- Optometrist
- Corneal and Contact Management
- Accepts Insurance
- CLIA Number: 11D2263001
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 06-21-2026
About ADVANCED EYE ASSOCIATES LLC
This page provides the complete NPI Profile along with additional information for Advanced Eye Associates Llc, a provider established in Marietta, Georgia operating as a Optometrist, focusing in corneal and contact management . The healthcare provider is registered in the NPI registry with number 1720217771 assigned on July 2009. The practitioner's primary taxonomy code is 152WC0802X with license number 152WOOOOOX (GA). The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Alfred M Long Jr. Od (Physician)
- NPI
- 1720217771
- Provider Name
- ADVANCED EYE ASSOCIATES LLC
- Entity Type
- Organization
- Location Address
- 2645 DALLAS HWY SW SUITE 100 MARIETTA, GA 30064
- Location Phone
- (770) 422-8002
- Location Fax
- (770) 422-4618
- Mailing Address
- 2645 DALLAS HWY SW SUITE 100 MARIETTA, GA 30064
- Mailing Phone
- (770) 422-8002
- Mailing Fax
- (770) 422-4618
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-13-2009
- Last Update Date
- 02-22-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Optometrist Corneal and Contact Management
- Taxonomy Code
- 152WC0802X
- Type
- Eye and Vision Services Providers
- License No.
- 152WOOOOOX
- License State
- GA
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- SoloCare Bronze EPO $8500 DED HSA 10004 - EPO
- SoloCare Exp Bronze EPO $9500 DED 10015 - EPO
- SoloCare Gold EPO $1500 DED 10010 - EPO
- SoloCare Silver EPO $5000 DED 10014 - EPO
- SoloCare Silver EPO $6500 DED 10013 - EPO
- SoloCare Standard Exp Bronze EPO $7500 DED 10008 - EPO
- SoloCare Standard Gold EPO $2000 DED 10006 - EPO
- SoloCare Standard Platinum EPO $0 DED 10005 - EPO
- SoloCare Standard Silver EPO $6000 DED 10007 - EPO
- BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health� - EPO
- BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health� - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 41ZCBCS | MEDICARE PIN (08) | ||
| U25346 | MEDICARE UPIN (02) | GA | |
| 41ZCCJJ | MEDICARE PIN (08) | GA | |
| U22423 | MEDICARE UPIN (02) |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 11D2263001
- Facility Type
- Physician Office
- Certificate Effective Date
- June 22, 2024
- Certificate Expiration Date
- June 21, 2026
- Laboratory Director
- ALFRED M. LONG
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Advanced Eye Associates Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for ADVANCED EYE ASSOCIATES LLC
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1720217771, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 59 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
MARIETTA, GA 30064
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720217771, enumerated as an "organization" on July 13, 2009.
The provider is located at 2645 DALLAS HWY SW SUITE 100 MARIETTA, GA 30064 and the phone number is (770) 422-8002.
Optometrist with taxonomy code 152WC0802X and a focus in Corneal and Contact Management.
The provider might be accepting Accepts: Alliant Health Plans, Inc., BlueCross BlueShield. Please consult your insurance carrier or call the provider to verify.
