Active NPI
Reema Gosalia, O.D.
- Optometrist
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT002842
- Practice address
- 2900 Peachtree Rd NW Ste 301
Atlanta, GA 30305-2193 - Phone
- (404) 869-5551
- Fax
- (404) 869-5181
- NPI assigned
- Feb 18, 2014
- Last updated
- Apr 30, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TUV008095 | NY | |
| Optometrist | 152W00000X | OPT002842 | GA | Primary |
Addresses
Primary practice location
2900 Peachtree Rd NW Ste 301
Atlanta, GA 30305-2193
Mailing address
PO Box 207173
Dallas, TX 75320-7173
Phone (636) 200-4393
Other practice location 1
30 Irving Ave
Floral Park, NY 11001-1626
Phone (516) 327-0146
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
880 Crestmark Dr
Suite 101
Lithia Springs, GA 30122-2646
Phone (770) 948-0036
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 15 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008095 | NY | MD | Psychologist |
| OPT002842 | GA | MD | Optometrist |
| TUV008095 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tulman Eye Group, PC | Optometrist | Current | Accepting new patients |
| Clarkson Optometry Georgia Inc | Optometrist | Current | Accepting new patients |
| Perimeter Vision Care, LLC | Optometrist | Current | Accepting new patients |
| Perimeter Vision Care, LLC | Optometrist | Current | Accepting new patients |
| Clarkson Optometry Georgia Inc | Optometrist | Past | Accepting new patients |
Locations
8400 Holcomb Bridge Rd
Ste 440
Alpharetta, GA 30022
Phone (770) 645-1222
200 Ashford Ctr N
Ste 305
Atlanta, GA 30338
2900 Peachtree Rd NW
Ste 301
Atlanta, GA 30305
Phone (404) 869-5551
4400 Ashford Dunwoody Rd NE
Ste 1280
Atlanta, GA 30346
Phone (770) 395-6717
4800 Briarcliff Rd NE
#1173
Atlanta, GA 30345
Phone (770) 493-9171
400 Ernest W Barrett Pkwy NW
Ste 617
Kennesaw, GA 30144
Phone (770) 421-1734
880 Crestmark Dr
Lithia Springs, GA 30122
880 Crestmark Dr
Ste 101
Lithia Springs, GA 30122
Phone (770) 948-0036
Networks
- FL HMO
- FL HMO D-SNP
- FL HMO C-SNP
Interoperability endpoints
- https://app.meldrx.com/api/fhir/ecp_cecga
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525046400000",
"number": "1013331750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 207173",
"city": "DALLAS",
"state": "TX",
"postal_code": "753207173",
"telephone_number": "636-200-4393",
"fax_number": "636-527-0766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 PEACHTREE RD NW STE 301",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303052193",
"telephone_number": "404-869-5551",
"fax_number": "404-869-5181"
}
],
"practiceLocations": [
{
"address_1": "30 Irving Ave",
"address_purpose": "LOCATION",
"city": "Floral Park",
"state": "NY",
"postal_code": "110011626",
"country_code": "US",
"telephone_number": "516-327-0146",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOSALIA",
"first_name": "REEMA",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-18",
"last_updated": "2018-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV008095",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "OPT002842",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.