Organization Active NPI

Dr. Steven R. Warstadt & Associates, P.C.

  • Optometrist
  • Atlanta, GA
National Provider Identifier
1306064688
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1152 Issued in GA
Legal business name
DR. STEVEN R. WARSTADT & ASSOCIATES, P.C.
Practice address
4800 Briarcliff Rd NE
1173 Northlake Mall
Atlanta, GA 30345-2743
Phone
(770) 493-9171
Fax
(770) 493-9297
NPI assigned
Apr 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Steven Roy Warstadt, O.D.
Title
Owner
Phone
(770) 493-9171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1152 GA Primary

Addresses

Primary practice location

4800 Briarcliff Rd NE
1173 Northlake Mall
Atlanta, GA 30345-2743

Mailing address

4800 Briarcliff Rd NE
1173 Northlake Mall
Atlanta, GA 30345-2743
Phone (770) 493-9171

National Provider Directory

National Provider Directory

Locations

4800 Briarcliff Rd NE
Ste 1173
Atlanta, GA 30345
Phone (770) 359-7647

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306064688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 BRIARCLIFF RD NE",
            "address_2": "1173 NORTHLAKE MALL",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303452743",
            "telephone_number": "770-493-9171",
            "fax_number": "770-493-9297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 BRIARCLIFF RD NE",
            "address_2": "1173 NORTHLAKE MALL",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303452743",
            "telephone_number": "770-493-9171",
            "fax_number": "770-493-9297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. STEVEN R. WARSTADT & ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WARSTADT",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "ROY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-493-9171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "1152",
            "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 Aug 22, 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.