Organization Active NPI

Lotus Vision LLC

Doing business as Lotus Vision

  • Ophthalmology Physician
  • Alpharetta, GA
National Provider Identifier
1184885105
Registry record updated Jul 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
57405 Issued in GA
Legal business name
LOTUS VISION LLC
Doing business as
Lotus Vision
Practice address
3400 Old Milton Pkwy
Suite A520
Alpharetta, GA 30005-3707
Phone
(678) 762-1700
NPI assigned
Jun 23, 2008
Last updated
Jul 23, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2009

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

Authorized official

Name
Dr. Ajit Nemi, M.D.NPI 1932130671
Title
Owner
Phone
(678) 762-1700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 57405 GA Primary

Addresses

Primary practice location

3400 Old Milton Pkwy
Suite A520
Alpharetta, GA 30005-3707

Mailing address

3400 Old Milton Pkwy
Suite A520
Alpharetta, GA 30005-3707
Phone (678) 762-1700

Other identifiers 1

IdentifierTypeStateIssuer
732130210EMedicaidGA

Other names 1

  • LOTUS VISION Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080714000148 GA Part B Supplier - Clinic/Group Practice 5597837286 Receives reassigned benefits from 1 practitioner
Practice locations: Alpharetta, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2307127Lotus Vision3400A Old Milton Parkway, Suite 520, Alpharetta, GA 30005Certificate of waiverJul 1, 2028

National Provider Directory

National Provider Directory

Locations

3400 Old Milton Pkwy
Ste A520
Alpharetta, GA 30005
Phone (678) 762-1700

3400 Old Milton Pkwy
Ste 520
Alpharetta, GA 30005
Phone (770) 772-4427

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248307200000",
    "number": "1184885105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 OLD MILTON PKWY",
            "address_2": "SUITE A520",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300053707",
            "telephone_number": "678-762-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 OLD MILTON PKWY",
            "address_2": "SUITE A520",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300053707",
            "telephone_number": "678-762-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTUS VISION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-23",
        "last_updated": "2009-07-23",
        "status": "A",
        "authorized_official_last_name": "NEMI",
        "authorized_official_first_name": "AJIT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-762-1700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "57405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "732130210E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LOTUS VISION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.