Active NPI
Lubna Ali
- Optometrist
- Lilburn, GA
National Provider Identifier
1285469437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 003602
- Practice address
- 4153 Lawrenceville Hwy NW Ste 5
Lilburn, GA 30047-2854 - Phone
- (770) 921-4707
- NPI assigned
- Sep 6, 2024
- Last updated
- Sep 6, 2024
- 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 | 003602 | GA | Primary |
Addresses
Primary practice location
4153 Lawrenceville Hwy NW Ste 5
Lilburn, GA 30047-2854
Mailing address
2673 Bonar Hall Path
Duluth, GA 30097-4973
Phone (864) 376-1810
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 Alabama Birmingham - School of Optometry, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4153 Lawrenceville Hwy NW
Suite 5
Lilburn, GA 30047-2854
Phone (770) 921-4707
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003602 | GA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clarkson Optometry Georgia Inc | Optometrist | Current | Accepting new patients |
| Clarkson Optometry Georgia Inc | Optometrist | Past | Accepting new patients |
Locations
8400 Holcomb Bridge Rd
Ste 440
Alpharetta, GA 30022
Phone (770) 645-1222
4153 Lawrenceville Hwy NW
Ste 5
Lilburn, GA 30047
Phone (770) 921-4707
Interoperability endpoints
- https://app.meldrx.com/api/fhir/ecp_cecga
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725580800000",
"number": "1285469437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2673 BONAR HALL PATH",
"city": "DULUTH",
"state": "GA",
"postal_code": "300974973",
"telephone_number": "864-376-1810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4153 LAWRENCEVILLE HWY NW STE 5",
"city": "LILBURN",
"state": "GA",
"postal_code": "300472854",
"telephone_number": "770-921-4707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALI",
"first_name": "LUBNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-06",
"last_updated": "2024-09-06",
"certification_date": "2024-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "003602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lilburn, GA
- Rebecca Ayaw Alabi
- Alain Emmanuel Therapy LLC
- Alan C. Tucker, D.D.S., P.C.
- Rebecca G Alcoba, CPNP-PC
- Keegan Alexander, LPN
- Sana Ali, NP
- Alice's Psychiatry & Wellness, LLC
- All and All Behavioral Health Services LLC
- All Cities Transportation
- All in. One Speech Therapy Services, LLC (All in One Speech Therapy Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; 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.