Mohamed Eid, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT002360 Issued in GA

Practice address

4045 Wetherburn Way Ste 1
Norcross, GA 30092-4611

Phone

(770) 441-1211

Fax

(770) 448-9141

NPI assigned

Apr 12, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eid Vision IncGroup PAC ID 0345594222, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Eid Vision Inc

  dba Peachtree Corners Eye Clinic

  • Optometrist
  • Peachtree Corners, GA
  • NPI 1124520788
  Medicare reassignment Care Compare group Authorized official
• Associated Eye Specialists of Farmington Hills, PC

  dba yaldo eye center

  • Ophthalmology Physician
  • Farmington Hills, MI
  • NPI 1710998091
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522195200000",
    "number": "1003030156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4045 WETHERBURN WAY STE 1",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300924611",
            "telephone_number": "770-441-1211",
            "fax_number": "770-448-9141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 WETHERBURN WAY STE 1",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300924611",
            "telephone_number": "770-441-1211",
            "fax_number": "770-448-9141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EID",
        "first_name": "MOHAMED",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2018-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ebenezer Healthcare Services
• Ebenezer Healthcare Services, Inc.
• April Michelle Edwards, ARNP
• Ehi Pharmacy Solutions, LLC.
• Jennifer Elliott Ehrhardt, M.ED., CCC-SLP
• David M Eifert, CNIM, R. EEG T.
• Elina Health Management LLC (Peachtree Urgent Care and Family Practice)
• Elina Healthcare Inc (Gwinnett Urgent Care & Family Practice)
• Elina Labs LLC
• Elite Medical Associates LLC

• Optometrist in Norcross, GA
• Providers in Norcross, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.