Healthcare Provider Details

I. General information

NPI: 1841220944
Provider Name (Legal Business Name): F & M FAMILY EYECARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/04/2006
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7583 HIGHWAY 85
RIVERDALE GA
30274-3438
US

IV. Provider business mailing address

339 LORING LN
PEACHTREE CITY GA
30269-6924
US

V. Phone/Fax

Practice location:
  • Phone: 770-996-3495
  • Fax: 770-996-3429
Mailing address:
  • Phone: 404-326-6497
  • Fax: 770-996-3429

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOPT002179
License Number StateGA

VIII. Authorized Official

Name: DR. FRED OSAYI
Title or Position: MANAGER
Credential: OD
Phone: 770-996-3495