Individual provider Active NPI

Richard Charles Schlievert, OD

  • Optometrist
  • Atlanta, GA
National Provider Identifier
1467687012
Registry record updated Apr 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT002529 Issued in GA
Practice address
2275 Marietta Blvd NW # 270-314
Atlanta, GA 30318-2004
Phone
(678) 438-5612
Fax
(678) 623-3633
NPI assigned
May 27, 2009
Last updated
Apr 8, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 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 OPT002529 GA Primary

Addresses

Primary practice location

2275 Marietta Blvd NW # 270-314
Atlanta, GA 30318-2004

Mailing address

2275 Marietta Blvd NW Ste 270-314
Atlanta, GA 30318-2004
Phone (678) 438-5612

Other identifiers 1

IdentifierTypeStateIssuer
611719687AMedicaidGA

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
I20100608000181 GA Practitioner - Optometry 9234269903 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2275 Marietta Blvd NW
Suite 270 314
Atlanta, GA 30318-2004
Phone (678) 438-5612

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
RCS Vision, LLC Optometrist CurrentSince Feb 1, 2010 Accepting new patients

Locations

1700 Northside Dr NW
Ste C3
Atlanta, GA 30318
Phone (678) 438-5612

2275 Marietta Blvd NW
Ste 270314
Atlanta, GA 30318
Phone (678) 438-5612

1133 E West Connector
Austell, GA 30106
Phone (404) 642-9322

4480 S Cobb Dr SE
Ste H205
Smyrna, GA 30080
Phone (678) 438-5612

Organizations & group practices 2

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": "1243382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649376000000",
    "number": "1467687012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2275 MARIETTA BLVD NW STE 270-314",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303182004",
            "telephone_number": "678-438-5612",
            "fax_number": "678-623-3633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2275 MARIETTA BLVD NW # 270-314",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303182004",
            "telephone_number": "678-438-5612",
            "fax_number": "678-623-3633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLIEVERT",
        "first_name": "RICHARD",
        "middle_name": "CHARLES",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-27",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "611719687A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.