Individual provider Active NPI

Farah Butt

  • Optometrist
  • Cumming, GA
National Provider Identifier
1366843757
Registry record updated Aug 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT002833 Issued in GA
Practice address
2395 Peachtree Pkwy
Cumming, GA 30041-7227
Phone
(770) 406-5227
NPI assigned
Sep 4, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT002833 GA Primary

Addresses

Primary practice location

2395 Peachtree Pkwy
Cumming, GA 30041-7227

Mailing address

3765 Kentwood CT
Suwanee, GA 30024-4489
Phone (256) 763-2703

Other practice location 1

3655 Browns Bridge Rd
Cumming, GA 30028-4134
Phone (770) 203-4864

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
I20141028001288 GA Practitioner - Optometry 2567683915 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5200 Windward Pkwy
Alpharetta, GA 30004-3842
Phone (770) 777-6872

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
North Atlanta Family Eye Care, Inc. Optometrist CurrentSince Jun 12, 2016 Accepting new patients

Locations

5200 Windward Pkwy
Alpharetta, GA 30004
Phone (770) 777-5832

3655 Browns Bridge Rd
Cumming, GA 30028
Phone (770) 203-4862

2395 Peachtree Pkwy
Cumming, GA 30041
Phone (770) 406-5165

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": "1409788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534982400000",
    "number": "1366843757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3765 KENTWOOD CT",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300244489",
            "telephone_number": "256-763-2703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2395 PEACHTREE PKWY",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300417227",
            "telephone_number": "770-406-5227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3655 Browns Bridge Rd",
            "address_purpose": "LOCATION",
            "city": "Cumming",
            "state": "GA",
            "postal_code": "300284134",
            "country_code": "US",
            "telephone_number": "770-203-4864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUTT",
        "first_name": "FARAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-04",
        "last_updated": "2018-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

Verify at the official NPI Registry.