Anas Asim
Individual provider Active NPI Optician · Canton, GA
NPI 1346158516 · NPPES record last updated Aug 31, 2026
Key facts
- NPI
- 1346158516
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optician 156FX1800X
- License
- LDO003088 (GA)
- Practice address
- 1550 Riverstone Pkwy
Canton, GA 30114-2918 - Phone
- (770) 720-1023
- Fax
- (770) 479-3403
- NPI assigned
- Aug 31, 2026
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | LDO003088 | GA | Yes |
Addresses
Primary practice location
1550 Riverstone Pkwy
Canton, GA 30114-2918
Mailing address
1550 Riverstone Pkwy
Canton, GA 30114-2918
Phone (770) 720-1023
Other providers in Canton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 31, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.