Aysha Siddique, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT003434 Issued in GA

Practice address

4832 Briarcliff Rd NE Ste 1
Atlanta, GA 30345-2702

Phone

(770) 727-0772

Fax

(770) 766-1117

NPI assigned

Jul 6, 2022

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

Ohio State University - College of Optometry, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Suwanee Eye CenterGroup PAC ID 8022081736, 2 clinicians

Perimeter Vision Care LLCGroup PAC ID 0547685810, 18 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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 and National Provider Directory roles.

• Suwanee Eye Center

  • Optometrist
  • Atlanta, GA
  • NPI 1194999003
  Medicare reassignment Care Compare group NPD
• Perimeter Vision Care, LLC

  • Optometrist
  • Atlanta, GA
  • NPI 1215611546
  Medicare reassignment Care Compare group
• Perimeter Vision Care, LLC

  • Optometrist
  • Atlanta, GA
  • NPI 1811527971
  NPD (past)

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

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1154054138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4832 BRIARCLIFF RD NE STE 1",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303452702",
            "telephone_number": "770-727-0772",
            "fax_number": "770-766-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4832 BRIARCLIFF RD NE STE 1",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303452702",
            "telephone_number": "770-727-0772",
            "fax_number": "770-766-1117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIQUE",
        "first_name": "AYSHA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-06",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Sickorez, PT
• Benjamin David Siclare, SAA
• Ala Addin Sid Ahmed
• Zain Siddiqi
• Zeeba Anwer Siddiqi, M.D.
• Anum Siddiqui
• Farjad Siddiqui
• Zia A Siddiqui, MD, MS, MPH
• Antonios Sideris, M.D.
• Navreet K. Sidhu, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; 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.