Active NPI
Roshni Naik, OD
- Optometrist
- Kennesaw, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT003386
- 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
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 | 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family First Vision Care Georgia | Optometrist | Current | Accepting new patients |
| Comprehensive Eyecare LLC | Optometrist | Current | Accepting new patients |
| Eecarman OD PC | Optometrist | Past | 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.
-
- Optometrist
- Roswell, GA
- NPI 1649881236
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.