Active NPI
Ashli Marissa Culver, OD
- Optometrist
- Roswell, GA
National Provider Identifier
1295304517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT003323
- Practice address
- 330 E Crossville Rd
Roswell, GA 30075-3038 - Phone
- (770) 518-4884
- NPI assigned
- Jun 21, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | OPT003323 | GA | Primary |
Addresses
Primary practice location
330 E Crossville Rd
Roswell, GA 30075-3038
Mailing address
330 E Crossville Rd
Roswell, GA 30075-3038
Phone (770) 518-4884
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 |
|---|---|---|---|
| OPT003323 | GA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| B3 Optical LLC | Optometrist | Past | Accepting new patients |
| Depoe Eye Center PC | Optometrist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Optometrist
- Stockbridge, GA
- NPI 1679953293
-
- Optometrist
- Stockbridge, GA
- NPI 1073730263
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710374400000",
"number": "1295304517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 E CROSSVILLE RD",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300753038",
"telephone_number": "770-518-4884",
"fax_number": "770-518-4882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 E CROSSVILLE RD",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300753038",
"telephone_number": "770-518-4884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CULVER",
"first_name": "ASHLI",
"middle_name": "MARISSA",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-21",
"last_updated": "2024-03-14",
"certification_date": "2024-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "GA",
"license": "OPT003323",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roswell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.