NPIMap

Organization Active NPI

DRS. Barnett, Andersen, & Associates, Optometrist, P.C.

  • Optometrist
  • Lilburn, GA
National Provider Identifier
1073668307
Registry record updated Feb 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
683T Issued in GA
Legal business name
DRS. BARNETT, ANDERSEN, & ASSOCIATES, OPTOMETRIST, P.C.
Practice address
4319 Lawrenceville Hwy NW
Lilburn, GA 30047-3416
Phone
(770) 921-4707
Fax
(770) 925-8973
NPI assigned
Jan 25, 2007
Last updated
Feb 26, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2015

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

Authorized official

Name
Dr. Joseph Leif Andersen, O.D.NPI 1093791386
Title
Vice President
Phone
(770) 921-4707

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 683T GA Primary

Addresses

Primary practice location

4319 Lawrenceville Hwy NW
Lilburn, GA 30047-3416

Mailing address

4319 Lawrenceville Hwy NW
Lilburn, GA 30047-3416
Phone (770) 921-4707

Other identifiers 2

IdentifierTypeStateIssuer
238123293AMedicaidGA
377696987AMedicaidGA

Other names 1

  • Drs. Brautigam, Barnett, Andersen, & Associates, Optometrist, P.C Former legal business name

National Provider Directory

National Provider Directory

Locations

4319 Lawrenceville Hwy NW
Ste A
Lilburn, GA 30047
Phone (404) 921-4704

7175 Jonesboro Rd
Ste A
Morrow, GA 30260
Phone (404) 961-2020

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424908800000",
    "number": "1073668307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4319 LAWRENCEVILLE HWY NW",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300473416",
            "telephone_number": "770-921-4707",
            "fax_number": "770-925-8973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4319 LAWRENCEVILLE HWY NW",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300473416",
            "telephone_number": "770-921-4707",
            "fax_number": "770-925-8973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS. BARNETT, ANDERSEN, & ASSOCIATES, OPTOMETRIST, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2015-02-26",
        "status": "A",
        "authorized_official_last_name": "ANDERSEN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "LEIF",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "770-921-4707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "683T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "238123293A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "377696987A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Drs. Brautigam, Barnett, Andersen, & Associates, Optometrist, P.C",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Lilburn, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.