Zeena Optical LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

ZEENA OPTICAL LLC

Practice address

3405 Dallas Hwy SW Ste 405
Marietta, GA 30064-6426

Phone

(770) 420-9877

Fax

(770) 420-9898

NPI assigned

Mar 30, 2022

Last updated

Mar 30, 2022By 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. Mastoureh Ahmadpour, ODNPI 1487938866

Title

Owner/Optometrist

Phone

(770) 420-9877

Specialties & licenses 1

Addresses

Other names 1

• Focus on Vision Former legal business name

Electronic endpoints 1

Locations

Practitioners 2

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.

• Mastoureh Ahmadpour, O.D.

  • Corneal and Contact Management Optometrist
  • Douglasville, GA
  • NPI 1487938866
  NPD Authorized official
• Gary C Duey, O.D.

  • Optometrist
  • Marietta, GA
  • NPI 1669470480
  NPD (past)

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

{
    "created_epoch": "1648598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648598400000",
    "number": "1174263065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3405 DALLAS HWY SW STE 405",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300646426",
            "telephone_number": "770-420-9877",
            "fax_number": "770-420-9898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 DALLAS HWY SW STE 405",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300646426",
            "telephone_number": "770-420-9877",
            "fax_number": "770-420-9898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZEENA OPTICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-30",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A",
        "authorized_official_last_name": "AHMADPOUR",
        "authorized_official_first_name": "MASTOUREH",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "770-420-9877",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@zeenaoptical.com",
            "affiliation": "N",
            "endpointDescription": "Office Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3405 Dallas Hwy SW Ste 405",
            "city": "Marietta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300646426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Focus on Vision",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; 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.