Individual provider Active NPI

Sima Lal Gupta, O.D., M.P.H.

  • Optometrist
  • Atlanta, GA
National Provider Identifier
1285772020
Registry record updated Dec 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT002472 Issued in GA
Practice address
860 Peachtree St NE
Suite F
Atlanta, GA 30308-1249
Phone
(404) 853-5008
NPI assigned
Feb 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV007026 NY
Optometrist 152W00000X OPT002472 GA Primary

Addresses

Primary practice location

860 Peachtree St NE
Suite F
Atlanta, GA 30308-1249

Mailing address

860 Peachtree St NE
Suite F
Atlanta, GA 30308-1249
Phone (404) 853-5008

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV007026NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecare Plus GH PLLC Optometrist PastSince Sep 1, 2003 Accepting new patients
Eyecare Plus HV PLLC Optometrist PastSince Aug 2, 2004 Accepting new patients
Eyecare Plus CL PLLC Optometrist PastSince Oct 14, 2006 Accepting new patients
Eyecare Plus CS PLLC Optometrist PastSince Oct 15, 2004 Accepting new patients
Eyecare Plus Ca,PLLC Optometrist PastSince Jul 20, 2008 Accepting new patients
Eyecare Plus HH, PLLC Optometrist PastSince Sep 1, 2003 Accepting new patients

Organizations & group practices 6

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": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324944000000",
    "number": "1285772020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 PEACHTREE ST NE",
            "address_2": "SUITE F",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303081249",
            "telephone_number": "404-853-5008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 PEACHTREE ST NE",
            "address_2": "SUITE F",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303081249",
            "telephone_number": "404-853-5008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "SIMA",
        "middle_name": "LAL",
        "credential": "O.D., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2011-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007026",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002472",
            "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 Dec 27, 2011; 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.