Mehdi Kazemzadeh, O.D.

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

OPT001423 Issued in GA

Practice address

575 Professional Dr
Suite 100
Lawrenceville, GA 30046-3333

Phone

(678) 993-2020

NPI assigned

Oct 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

University of Alabama School of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Thomas Eye Group PCGroup PAC ID 2567455868, 51 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Thomas Eye Group PC

  • Ophthalmology Physician
  • Sandy Springs, GA
  • NPI 1548271992
  Medicare reassignment Care Compare group NPD
• Bolt Eye Group - Lawrenceville LLC

  • Optometrist
  • Lawrenceville, GA
  • NPI 1154169985
  Medicare reassignment NPD
• Thomas Eye Group PC

  • Optometrist
  • Stone Mountain, GA
  • NPI 1043032840
  NPD
• Thomas Eye Group PC

  • Ophthalmology Physician
  • Lithonia, GA
  • NPI 1184734550
  NPD (past)

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1306921101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 PROFESSIONAL DR",
            "address_2": "STE 100",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300463300",
            "telephone_number": "770-822-9747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 PROFESSIONAL DR",
            "address_2": "SUITE 100",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300463333",
            "telephone_number": "678-993-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAZEMZADEH",
        "first_name": "MEHDI",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "GA",
            "license": "OPT001423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000824865B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meena J. Kavil, M.D.
• Sheldon Uriah Kay, MS, APC, NCC
• Kay'S Medical Supplies LLC
• Fiona Kaye-Manu, LMSW
• Sydney Alyssa Kayler, PA
• Kboggspc
• KC Healthcare Supplies LLC
• Kdevinecares
• Kate Ke
• Christopher Julian Keating, M.D.

• Corneal and Contact Management Optometrist in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Corneal and Contact Management Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; 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.

Verify at the official NPI Registry.