Individual provider Active NPI

Reema Gosalia, O.D.

  • Optometrist
  • Atlanta, GA
National Provider Identifier
1013331750
Registry record updated Apr 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT002842 Issued in GA
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, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180811000179 GA Practitioner - Optometry 6305079658 Reassigns benefits to 3 organizations

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
Daniel Tulman OD PCGroup PAC ID 8426961194, 5 clinicians

Practice addresses (Care Compare)

880 Crestmark Dr
Suite 101
Lithia Springs, GA 30122-2646
Phone (770) 948-0036

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008095NYMDPsychologist
OPT002842GAMDOptometrist
TUV008095NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tulman Eye Group, PC Optometrist CurrentSince Jul 17, 2023 Accepting new patients
Clarkson Optometry Georgia Inc Optometrist CurrentSince Jun 1, 2018 Accepting new patients
Perimeter Vision Care, LLC Optometrist CurrentSince Jul 2, 2021 Accepting new patients
Perimeter Vision Care, LLC Optometrist CurrentSince Jul 2, 2021 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

  • FHIR API: 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

Verify at the official NPI Registry.