Active NPI
Mahsa Katherine Masoudi, OD
- Optometrist
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT003344
- Practice address
- 5505 Peachtree Dunwoody Rd Ste 300
Atlanta, GA 30342-1718 - Phone
- (404) 257-0814
- NPI assigned
- Jul 8, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | OPT003344 | GA | |
| Optometrist | 152W00000X | OPT003344 | GA | Primary |
Addresses
Primary practice location
5505 Peachtree Dunwoody Rd Ste 300
Atlanta, GA 30342-1718
Mailing address
3967 Chapel Grove Dr
Marietta, GA 30062-1067
Other practice location 1
3200 Downwood Cir NW Ste 240
Atlanta, GA 30327-1618
Phone (404) 355-7000
Other practice location 2
1800 Phoenix Blvd Ste 406
College Park, GA 30349-5560
Phone (770) 996-6664
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
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of California - School of Optometry, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3939 Roswell Rd
Suite 100
Marietta, GA 30062-6283
Phone (770) 977-8000
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.93 of 100
- Quality
- 82.14
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT003344 | GA | MD | Corneal and Contact Management Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marietta Eye Clinic, PA | Optometrist | Current | Accepting new patients |
| Marietta Eye Clinic PA | Current | Accepting new patients | |
| Marietta Eye Clinic PA | Current | Accepting new patients | |
| Marietta Eye Clinic, PA | Past | Accepting new patients | |
| Southeast Eye Surgery Center, PC | Past | Accepting new patients |
Locations
100 Old Ball Ground Hwy
#A
Canton, GA 30114
3939 Roswell Rd
Ste 100
Marietta, GA 30062
Phone (770) 977-8000
895 Canton Rd NE
Bldg 100
Marietta, GA 30060
Phone (770) 425-6167
10485 Alpharetta St
Roswell, GA 30075
Phone (678) 439-2443
Interoperability endpoints
- mmasoudi@mariettaeyeclinic.emadirect.md
- mahsa.masoudi.p41@direct.omnieyeatlanta.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ophthalmology Physician
- Suwanee, GA
- NPI 1700675568
-
- Ophthalmologic Surgery Clinic/Center
- Suwanee, GA
- NPI 1225836869
-
- Ophthalmologic Surgery Clinic/Center
- Marietta, GA
- NPI 1205857968
-
- Ophthalmology Physician
- Atlanta, GA
- NPI 1629120928
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625702400000",
"number": "1194396309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3967 CHAPEL GROVE DR",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300621067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5505 PEACHTREE DUNWOODY RD STE 300",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421718",
"telephone_number": "404-257-0814"
}
],
"practiceLocations": [
{
"address_1": "3200 Downwood Cir NW Ste 240",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303271618",
"country_code": "US",
"telephone_number": "404-355-7000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1800 Phoenix Blvd Ste 406",
"address_purpose": "LOCATION",
"city": "College Park",
"state": "GA",
"postal_code": "303495560",
"country_code": "US",
"telephone_number": "770-996-6664",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MASOUDI",
"first_name": "MAHSA",
"middle_name": "KATHERINE",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-08",
"last_updated": "2021-07-08",
"certification_date": "2021-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "GA",
"license": "OPT003344",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "OPT003344",
"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, 2021; 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.
- 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.