Organization Active NPI

Buckhead Optics LLC

  • Optometrist
  • Atlanta, GA
National Provider Identifier
1437520863
Registry record updated Oct 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
BUCKHEAD OPTICS LLC
Practice address
3425 Lenox Rd NE
Atlanta, GA 30326-1308
Phone
(404) 237-6210
NPI assigned
Oct 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2023

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

Authorized official

Name
Fareed Dosani, O.D.NPI 1366176091
Title
Medical Director
Phone
(770) 655-0989

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary
Eyewear Supplier 332H00000X

Addresses

Primary practice location

3425 Lenox Rd NE
Atlanta, GA 30326-1308

Mailing address

3425 Lenox Rd NE
Atlanta, GA 30326-1308
Phone (440) 423-7621

Other names 1

  • Pearle Vision Lenox Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231201002759 GA Part B Supplier - Clinic/Group Practice 2466800396 Receives reassigned benefits from 3 practitioners
Practice locations: Atlanta, GA

National Provider Directory

National Provider Directory
Tax ID family
Buckhead Optics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1444608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697760000000",
    "number": "1437520863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3425 LENOX RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303261308",
            "telephone_number": "440-423-7621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3425 LENOX RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303261308",
            "telephone_number": "404-237-6210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKHEAD OPTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-12",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A",
        "authorized_official_last_name": "DOSANI",
        "authorized_official_first_name": "FAREED",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "770-655-0989",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearle Vision Lenox",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.