Active NPI
William Ira Kulbersh
- Optometrist
- Atlanta, GA
National Provider Identifier
1154400950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT000859
- Practice address
- 943 Peachtree St NE
Unit 916
Atlanta, GA 30309-3936 - Phone
- (404) 423-6666
- NPI assigned
- Nov 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT000859 | GA | Primary |
Addresses
Primary practice location
943 Peachtree St NE
Unit 916
Atlanta, GA 30309-3936
Mailing address
943 Peachtree St NE
Unit 916
Atlanta, GA 30309-3936
Phone (404) 423-6666
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT000859 | GA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154400950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "943 PEACHTREE ST NE",
"address_2": "UNIT 916",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303093936",
"telephone_number": "404-423-6666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "943 PEACHTREE ST NE",
"address_2": "UNIT 916",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303093936",
"telephone_number": "404-423-6666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KULBERSH",
"first_name": "WILLIAM",
"middle_name": "IRA",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "OPT000859",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.