Individual provider Active NPI

Karan Shah, O.D.

  • Optometrist
  • Atlanta, GA
National Provider Identifier
1356793285
Registry record updated Jul 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT002955 Issued in GA
Practice address
3393 Peachtree Rd NE
Atlanta, GA 30326-1162
Phone
(404) 233-9296
NPI assigned
Jul 3, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT002955 GA Primary

Addresses

Primary practice location

3393 Peachtree Rd NE
Atlanta, GA 30326-1162

Mailing address

2349 Jomarc Way
Marietta, GA 30062-2611
Phone (770) 971-7460

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190822004575 GA Practitioner - Optometry 5395073712 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1244 W Paces Ferry Rd NW
Atlanta, GA 30327-2306
Phone (404) 844-1500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT002955GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Optique at West Paces LLC Optometrist CurrentSince Dec 20, 2024 Accepting new patients
Optique at Brookhaven, LLC CurrentSince Nov 18, 2025 Accepting new patients
Stephen Rothbloom OD, LLC Optometrist CurrentSince Jun 1, 2019 Accepting new patients
Oneopto Ga 1 PLLC Optometrist Past Accepting new patients

Locations

1244 W Paces Ferry Rd NW
Atlanta, GA 30327
Phone (404) 844-1500

305 Brookhaven Ave NE
Ste A1110
Brookhaven, GA 30319
Phone (404) 816-8889

1655 Spring Rd SE
Smyrna, GA 30080
Phone (678) 842-9544

Organizations & group practices 4

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": "1467504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467504000000",
    "number": "1356793285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2349 JOMARC WAY",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300622611",
            "telephone_number": "770-971-7460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3393 PEACHTREE RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303261162",
            "telephone_number": "404-233-9296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "KARAN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-03",
        "last_updated": "2016-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.