Daniel Gottlieb, OD

Primary specialty

Vision Therapy OptometristTaxonomy code 152WV0400X

License

755 Issued in GA

Practice address

318 Walnut St Apt 302a
Chattanooga, TN 37403-1730

Phone

(404) 309-2020

Fax

(423) 267-4555

NPI assigned

Mar 23, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Dr. Daniel D. Gottlieb Optometrist, PC

  • Low Vision Rehabilitation Optometrist
  • Alpharetta, GA
  • NPI 1720285307
  NPD (past) Authorized official

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541030400000",
    "number": "1245357615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 ATLANTA HWY # 9101A",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300047821",
            "telephone_number": "404-309-2020",
            "fax_number": "423-267-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 WALNUT ST APT 302A",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374031730",
            "telephone_number": "404-309-2020",
            "fax_number": "423-267-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTTLIEB",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-23",
        "last_updated": "2018-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "GA",
            "license": "755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jared Gordon, DO
• Kathryne Gordon, BSW
• Phyllis Arlene Gordon, MSSW
• Randall A Gossett, CRNA
• Sharon Tipton Gothard, ACNP
• Grace Ancillary Services, LLC
• Grace Home Primary Care
• Carrie Ann Grace, CRNA
• Jarrett Joel Grace, MD, MBA
• Levi Dakota Grace

• Vision Therapy Optometrist in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Vision Therapy Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.