STONE MOUNTAIN EYE CENTER NPI 1528228616

NPI Information

  • NPI: 1528228616
  • Provider Name: STONE MOUNTAIN EYE CENTER
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Address: 1525 E PARK PLACE BLVD STE 1800
    STONE MOUNTAIN, GA
    ZIP 30087
  • Phone: (770) 498-3434

Map and Directions

Get Directions

NPI Details

STONE MOUNTAIN EYE CENTER is a clinic center in Stone Mountain, GA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). STONE MOUNTAIN EYE CENTER NPI is 1528228616. The provider is registered as an organization entity type.

The provider's business location address is:

1525 E PARK PLACE BLVD STE 1800
STONE MOUNTAIN, GA
ZIP 30087-403
Phone: (770) 498-3434
Fax: (770) 498-3440

The provider's authorized official is Elizabeth Sobanjo .
The authorized official title is President and has the following contact phone number (770) 498-3434.

The enumeration date for this NPI number is 6/11/2008 and was last updated on 4/28/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/Center1538GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10009004134MEDICAIDGEORGIA
2202G-703-432MEDICARE PINGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI