Active NPI
Samaneh Sahand, OD
- Optometrist
- Marietta, GA
National Provider Identifier
1265967509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT003040
- Practice address
- 2200 Roswell Rd Ste 160
Marietta, GA 30062-2984 - Phone
- (770) 293-0095
- NPI assigned
- Apr 24, 2017
- 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 | OPT003040 | GA | Primary |
Addresses
Primary practice location
2200 Roswell Rd Ste 160
Marietta, GA 30062-2984
Mailing address
2808 Amerson Way
Ellenwood, GA 30294-3833
Phone (678) 763-8468
Other practice location 1
2481 SW 82nd Ave
apt 304
Davie, FL 33324-7701
Phone (678) 763-8468
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT003040 | GA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1265967509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2808 AMERSON WAY",
"city": "ELLENWOOD",
"state": "GA",
"postal_code": "302943833",
"telephone_number": "678-763-8468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 ROSWELL RD STE 160",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300622984",
"telephone_number": "770-293-0095"
}
],
"practiceLocations": [
{
"address_1": "2481 SW 82nd Ave",
"address_2": "apt 304",
"address_purpose": "LOCATION",
"city": "Davie",
"state": "FL",
"postal_code": "333247701",
"country_code": "US",
"telephone_number": "678-763-8468",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SAHAND",
"first_name": "SAMANEH",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-24",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "OPT003040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.