Individual provider Active NPI

Roshni Naik, OD

  • Optometrist
  • Kennesaw, GA
National Provider Identifier
1184385494
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT003386 Issued in GA
Practice address
1615 Ridenour Blvd NW Ste 201
Kennesaw, GA 30152-4464
Phone
(770) 499-2020
NPI assigned
Jan 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT003386 GA Primary

Addresses

Primary practice location

1615 Ridenour Blvd NW Ste 201
Kennesaw, GA 30152-4464

Mailing address

1615 Ridenour Blvd NW Ste 201
Kennesaw, GA 30152-4464

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220419001589 GA Practitioner - Optometry 2264829340 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family First Vision Care Georgia Optometrist CurrentSince Dec 9, 2024 Accepting new patients
Comprehensive Eyecare LLC Optometrist CurrentSince Mar 1, 2024 Accepting new patients
Eecarman OD PC Optometrist PastSince Dec 13, 2022 Accepting new patients

Locations

2855 Jordan Ct
Alpharetta, GA 30004
Phone (678) 823-4954

1455 Riverstone Pkwy
Ste 110
Canton, GA 30114
Phone (770) 479-0500

239 Market Place Blvd
Cartersville, GA 30121
Phone (770) 607-1448

890 Dawsonville Hwy
Ste A
Gainesville, GA 30501
Phone (770) 532-4171

1401 Johnson Ferry Rd
Ste 148B
Marietta, GA 30062
Phone (770) 509-8480

200 Mosaic Cir
Pooler, GA 31322
Phone (912) 348-4569

10775 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 998-0331

316 S Hamilton Rd
Gahanna, OH 43230

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1641600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1184385494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 RIDENOUR BLVD NW STE 201",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301524464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 RIDENOUR BLVD NW STE 201",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301524464",
            "telephone_number": "770-499-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAIK",
        "first_name": "ROSHNI",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-08",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

Verify at the official NPI Registry.