Individual provider Active NPI

Michael J. Cattell, O.D.

  • Optometrist
  • Peachtree Corners, GA
National Provider Identifier
1295835866
Registry record updated Jun 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT003231 Issued in GA
Practice address
3965 River Hollow Run
Peachtree Corners, GA 30096-6189
Phone
(818) 652-7359
NPI assigned
Sep 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT003231 GA Primary

Addresses

Primary practice location

3965 River Hollow Run
Peachtree Corners, GA 30096-6189

Mailing address

3965 River Hollow Run
Peachtree Corners, GA 30096-6189
Phone (818) 652-7359

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
OPT003231GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ngoc H. Tran, O.D., Inc. Optometrist PastSince Dec 22, 2013 Accepting new patients

Organizations & group practices 1

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": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592697600000",
    "number": "1295835866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3965 RIVER HOLLOW RUN",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300966189",
            "telephone_number": "818-652-7359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3965 RIVER HOLLOW RUN",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300966189",
            "telephone_number": "818-652-7359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CATTELL",
        "first_name": "MICHAEL",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-24",
        "last_updated": "2020-06-21",
        "certification_date": "2020-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachtree Corners, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2020; 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.