Individual provider Active NPI

Mansi Parikh, OD

  • Optometrist
  • Marietta, GA
National Provider Identifier
1417434853
Registry record updated Jun 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT003114 Issued in GA
Practice address
3100 Johnson Ferry Rd
Marietta, GA 30062-5657
Phone
(770) 992-5900
NPI assigned
Jul 27, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 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 OPT003114 GA Primary

Addresses

Primary practice location

3100 Johnson Ferry Rd
Marietta, GA 30062-5657

Mailing address

6300 Blue Stone Rd Unit 3009
Atlanta, GA 30328-3860
Phone (770) 992-5900

Other practice location 1

1275 Caroline St NE
Atlanta, GA 30307
Phone (404) 682-7562

Other practice location 2

2345 E West Connector
Austell, GA 30106-6812
Phone (770) 941-2323

Other practice location 3

2345 E West Connector
Austell, GA 30106-6812
Phone (770) 941-2323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT003114GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Clarkson Optometry Georgia Inc Optometrist Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ecp_cecga

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": "1532649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1417434853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 BLUE STONE RD UNIT 3009",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303283860",
            "telephone_number": "770-992-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 JOHNSON FERRY RD",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300625657",
            "telephone_number": "770-992-5900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1275 Caroline St NE",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "30307",
            "country_code": "US",
            "telephone_number": "404-682-7562",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2345 E West Connector",
            "address_purpose": "LOCATION",
            "city": "Austell",
            "state": "GA",
            "postal_code": "301066812",
            "country_code": "US",
            "telephone_number": "770-941-2323",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2345 E West Connector",
            "address_purpose": "LOCATION",
            "city": "Austell",
            "state": "GA",
            "postal_code": "301066812",
            "country_code": "US",
            "telephone_number": "770-941-2323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARIKH",
        "first_name": "MANSI",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-27",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.