Individual provider Active NPI

Hadi Alameddine, O.D.

  • Optometrist
  • Fort Oglethorpe, GA
National Provider Identifier
1235163288
Registry record updated Dec 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
000OPT001843 Issued in GA
Practice address
3030 Lafayette Rd
Fort Oglethorpe, GA 30742-3782
Phone
(706) 866-2247
Fax
(706) 866-2247
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 000OPT001843 GA Primary

Addresses

Primary practice location

3030 Lafayette Rd
Fort Oglethorpe, GA 30742-3782

Mailing address

3030 Lafayette Rd
Fort Oglethorpe, GA 30742-3782
Phone (706) 866-2247

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
I20040903000066 GA Practitioner - Optometry 2668448424 Practice locations: Ft Oglethorpe, GA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2000
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3030 Lafayette Rd
Ft Oglethorpe, GA 30742-3782
Phone 7068662247277788

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000OPT001843GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dalton Eye Center, LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418860800000",
    "number": "1235163288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 LAFAYETTE RD",
            "city": "FORT OGLETHORPE",
            "state": "GA",
            "postal_code": "307423782",
            "telephone_number": "706-866-2247",
            "fax_number": "706-866-2247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 LAFAYETTE RD",
            "city": "FORT OGLETHORPE",
            "state": "GA",
            "postal_code": "307423782",
            "telephone_number": "706-866-2247",
            "fax_number": "706-866-2247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALAMEDDINE",
        "first_name": "HADI",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2014-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "000OPT001843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Oglethorpe, GA

Sources for this page

Verify at the official NPI Registry.