Susan Marie Reimbold, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

001567 Issued in GA

Practice address

4180 Old Milton Pkwy
Suite 1-D
Alpharetta, GA 30005-2408

Phone

(770) 776-9000

NPI assigned

Mar 23, 2007

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Female

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

Pennsylvania College of Optometry, 1996

Medicare assignment

May accept Medicare assignment

Group practices

Bolt Eye Group - Riverdale LLCGroup PAC ID 8022475532, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Bolt Eye Group - Riverdale, LLC

  dba Bolt Eye Group

  • Optometrist
  • Riverdale, GA
  • NPI 1588378632
  Medicare reassignment Care Compare group NPD Authorized official
• Susan Reimbold O.D., P.C.

  dba Reimbold Eye Group

  • Optometrist
  • Alpharetta, GA
  • NPI 1790197366
  Medicare reassignment Authorized official
• Bolt Eye Group - Gainesville, LLC

  dba Bolt Eye Group

  • Optometrist
  • Gainesville, GA
  • NPI 1023722188
  Authorized official Same address or phone
• Bolt Eye Group-Canton LLC

  • Optometrist
  • Canton, GA
  • NPI 1518693878
  NPD (past) Authorized official
• Bolt Eye Group, LLC

  • Optometrist
  • Atlanta, GA
  • NPI 1356077564
  NPD (past) Authorized official
• Bolt Eye Group-East Cobb LLC

  • Optometrist
  • Marietta, GA
  • NPI 1548996754
  NPD (past)

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1033236492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4180 OLD MILTON PKWY",
            "address_2": "SUITE 1-D",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300052408",
            "telephone_number": "770-776-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4180 OLD MILTON PKWY",
            "address_2": "SUITE 1-D",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300052408",
            "telephone_number": "770-776-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIMBOLD",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "001567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Mansour Reid, D.O.
• Lisa Marie Reid, LCSW
• Niquel Reid, RBT
• Shania Yolanda Reid, BS, RBT
• Madeline Reilly
• Jason Seth Reingold, M.D.
• Gina Woodard Reinhart, DMD
• Reliant Senior Living LLC (Living Rehab)
• Latoya N Rembert, OWNER
• Neal David Render

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.