Boski Rohitkumar Amin, O.D.
Individual provider Active NPI Optometrist · Lilburn, GA
NPI 1053689588 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1053689588
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- OPT002655 (GA)
- Practice address
- 4574 Lawrenceville Hwy NW Ste 201
Lilburn, GA 30047-3605 - Phone
- (770) 381-6706
- Fax
- (770) 921-7653
- NPI assigned
- Dec 12, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4574 Lawrenceville Hwy NW
Suite 201
Lilburn, GA 30047-3605
Phone (770) 381-6706
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121101000438 | GA | Practitioner - Optometry | 0941450704 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boski R. Amin OD, LLC | Current |
Accepting new patients | |
| Richard Heggeland, OD, PC | Optometrist | Past | Accepting new patients |
Locations
4574 Lawrenceville Hwy NW
Ste 201
Lilburn, GA 30047
Phone (770) 381-6706
4562 Lawrenceville Hwy NW
Ste 101
Lilburn, GA 30047
Phone (770) 381-6706
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT002655 | GA | Yes |
Addresses
Primary practice location
4574 Lawrenceville Hwy NW Ste 201
Lilburn, GA 30047-3605
Mailing address
4574 Lawrenceville Hwy NW Ste 201
Lilburn, GA 30047-3605
Phone (770) 381-6706
Other practice location 1
4562 Lawrenceville Hwy NW
suite 101
Lilburn, GA 30047-3618
Phone (770) 381-6706
Other providers in Lilburn, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.