EAST GEORGIA EYECARE LLC
NPI 1811024045
Optometrist in Conyers, GA
About East Georgia Eyecare Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EAST GEORGIA EYECARE LLC (NPI 1811024045), doing business as East Georgia Eyecare, Pc, is a healthcare organization registered as an optometrist in Conyers, Georgia and active in the NPI registry since February 2007. The organization lists David L Grosswald, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Accepted 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)
East Georgia Eyecare Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to East Georgia Eyecare LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (4)
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 East Georgia Eyecare LLC's NPI number?
The NPI number for East Georgia Eyecare LLC is 1811024045. It was assigned to this organization in the NPPES registry on February 27, 2007. The provider was formerly known as East Georgia Eyecare, PC.
Where is East Georgia Eyecare LLC located?
East Georgia Eyecare LLC is located at 1192 Dogwood Dr SE, Conyers, GA 30012. The listed phone number is (770) 860-1919.
What is East Georgia Eyecare LLC's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is East Georgia Eyecare LLC enrolled in Medicare?
Yes. East Georgia Eyecare LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through East Georgia Eyecare LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Optometry, reassign their Medicare billing to East Georgia 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does East Georgia Eyecare LLC accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 2 other insurers list East Georgia Eyecare 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 East Georgia Eyecare LLC was last updated on July 31, 2024. 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.
# East Georgia Eyecare Llc · NPI 1811024045
Optometrist organization in Conyers, Georgia. Organization record, active in the CMS NPPES registry since February 27, 2007.
## Identity
- **NPI:** 1811024045 (Entity type: Organization)
- **Enumerated:** February 27, 2007
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** David Grosswald, PRESIDENT
## Practice location
- **Address:** 1192 DOGWOOD DR SE, Conyers, GA 30012-5454
- **Phone:** (770) 860-1919 · **Fax:** (770) 860-1607
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 31, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1811024045) · Data from the CMS NPPES public registry.