Individual provider Active NPI

Anisha Haji, OD

  • Optometrist
  • Atlanta, GA
National Provider Identifier
1366832388
Registry record updated Dec 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT 002857 Issued in GA
Practice address
3393 Peachtree Rd NE Ste B128
Atlanta, GA 30326-1197
Phone
(770) 727-0772
Fax
(770) 766-1117
NPI assigned
Jan 29, 2015
Last updated
Dec 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT 002857 GA Primary

Addresses

Primary practice location

3393 Peachtree Rd NE Ste B128
Atlanta, GA 30326-1197

Mailing address

200 Ashford Ctr N Ste 305
Atlanta, GA 30338-2682
Phone (770) 727-0772

Other identifiers 1

IdentifierTypeStateIssuer
OPT002857OtherGAOD LICENSE NUMBER

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
I20210203001524 GA Practitioner - Optometry 2365867637 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Perimeter Vision Care LLCGroup PAC ID 0547685810, 18 clinicians

Practice addresses (Care Compare)

4400 Ashford Dunwoody Rd NE
Suite 1280
Atlanta, GA 30346-1546
Phone (770) 727-0772

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT 002857GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Perimeter Vision Care, LLC Optometrist CurrentSince Jan 1, 2020 Accepting new patients
Perimeter Vision Care, LLC Optometrist CurrentSince Jan 1, 2021 Accepting new patients
Perimeter Vision Care, LLC Optometrist Past Accepting new patients

Locations

1154 N Point Cir
Alpharetta, GA 30022
Phone (770) 667-8060

200 Ashford Ctr N
Ste 305
Atlanta, GA 30338

2860 Cumberland Mall SE
Ste 1440
Atlanta, GA 30339
Phone (770) 434-4552

3393 Peachtree Rd NE
Ste B128
Atlanta, GA 30326
Phone (404) 233-9296

4400 Ashford Dunwoody Rd NE
Ste 1280
Atlanta, GA 30346
Phone (770) 395-6717

400 Ernest W Barrett Pkwy NW
Ste 617
Kennesaw, GA 30144
Phone (770) 421-1734

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1422489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1366832388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 ASHFORD CTR N STE 305",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303382682",
            "telephone_number": "770-727-0772",
            "fax_number": "770-766-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3393 PEACHTREE RD NE STE B128",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303261197",
            "telephone_number": "770-727-0772",
            "fax_number": "770-766-1117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAJI",
        "first_name": "ANISHA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-29",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT 002857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OD LICENSE NUMBER",
            "identifier": "OPT002857",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.