Individual provider Active NPI

Hema Jitendra Hebbar, O.D

  • Optometrist
  • Atlanta, GA
National Provider Identifier
1356542765
Registry record updated Aug 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
002131 Issued in GA
Practice address
200 Galleria Pkwy SE
Suite 200
Atlanta, GA 30339-5918
Phone
(770) 955-3938
Fax
(770) 955-6706
NPI assigned
May 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 002131 GA Primary

Addresses

Primary practice location

200 Galleria Pkwy SE
Suite 200
Atlanta, GA 30339-5918

Mailing address

850 Piedmont Ave NE
Unit 3309
Atlanta, GA 30308-1466
Phone (404) 610-7783

Other names 1

  • Dr. Hema Jitendra Chavda Former name

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
002131GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lca-Vision Past 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": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187654400000",
    "number": "1356542765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 PIEDMONT AVE NE",
            "address_2": "UNIT 3309",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303081466",
            "telephone_number": "404-610-7783",
            "fax_number": "404-870-5983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 GALLERIA PKWY SE",
            "address_2": "SUITE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395918",
            "telephone_number": "770-955-3938",
            "fax_number": "770-955-6706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEBBAR",
        "first_name": "HEMA",
        "middle_name": "JITENDRA",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-31",
        "last_updated": "2007-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "002131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEMA",
            "last_name": "CHAVDA",
            "middle_name": "JITENDRA",
            "prefix": "DR.",
            "credential": "O.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 21, 2007; 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.