Itherapy

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

ITHERAPY

Doing business as

Westside Eye Center

Practice address

2250 Marietta Boulevard Northwest
Suite 302
Atlanta, GA 30318-2020

Phone

(404) 446-0343

Fax

(404) 446-0344

NPI assigned

Aug 2, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Katerin Awilda OrtizNPI 1316146301

Title

President

Phone

(404) 446-0343

Specialties & licenses 1

Addresses

Other names 1

• Westside Eye Center Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

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

• Katerin Ortiz, O.D.

  • Optometrist
  • Atlanta, GA
  • NPI 1316146301
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1659398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664236800000",
    "number": "1487381380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 MARIETTA BLVD NW",
            "address_2": "STE 302",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30318",
            "telephone_number": "404-446-0343",
            "fax_number": "404-446-0344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 MARIETTA BOULEVARD NORTHWEST",
            "address_2": "SUITE 302",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303182020",
            "telephone_number": "404-446-0343",
            "fax_number": "404-446-0344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ITHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-02",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-21",
        "status": "A",
        "authorized_official_last_name": "ORTIZ",
        "authorized_official_first_name": "KATERIN",
        "authorized_official_middle_name": "AWILDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-446-0343",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kaortiz@westsideeyecenter.com",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "messages",
            "address_1": "2250 Marietta Boulevard Northwest",
            "address_2": "Suite 302",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303182020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Westside Eye Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Westside Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; 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.