Sidney a. Gottlieb, O.D., P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT001095 Issued in GA

Legal business name

SIDNEY A. GOTTLIEB, O.D., P.C.

Practice address

12182 Highway 92
Woodstock, GA 30188-4481

Phone

(770) 591-9838

Fax

(678) 445-3803

NPI assigned

Dec 17, 2012

Last updated

Dec 17, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sidney Alan Gottlieb, O.D.NPI 1588789762

Title

President/Optometrist

Phone

(770) 845-1098

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Sidney A Gottlieb, O.D.

  • Optometrist
  • Woodstock, GA
  • NPI 1588789762
  NPD (past) Authorized official

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

{
    "created_epoch": "1355702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355702400000",
    "number": "1073859187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12182 HIGHWAY 92",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301884481",
            "telephone_number": "770-591-9838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12182 HIGHWAY 92",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301884481",
            "telephone_number": "770-591-9838",
            "fax_number": "678-445-3803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIDNEY A. GOTTLIEB, O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-17",
        "last_updated": "2012-12-17",
        "status": "A",
        "authorized_official_last_name": "GOTTLIEB",
        "authorized_official_first_name": "SIDNEY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT/OPTOMETRIST",
        "authorized_official_telephone_number": "770-845-1098",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT001095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Fay Shoemaker
• Kelsie Shonk
• Craig Paul Shul, MD
• Deanna Navada Shuman, RN
• Amanda Shyer
• Laura Sidwell, LPMT, MT-BC
• Kelly Sierra, NP-C
• David P. Sikanowicz, D.C.
• Jazmin Silva, RBT
• Silver Companions Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2012; 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.