Organization Active NPI

Eyesingh, LLC

  • Optometrist
  • Marietta, GA
National Provider Identifier
1508755687
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EYESINGH, LLC
Practice address
3625 Dallas Hwy SW Ste 660
Marietta, GA 30064-5906
Phone
(770) 590-8951
Fax
(770) 214-4668
NPI assigned
Jul 2, 2025
Last updated
Jul 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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

Authorized official

Name
Dr. Ambareen Mohamed, ODNPI 1861593519
Title
Owner
Phone
(678) 570-4762

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

3625 Dallas Hwy SW Ste 660
Marietta, GA 30064-5906

Mailing address

5331 Tallgrass Way NW
Kennesaw, GA 30152-2832
Phone (678) 570-4762

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1751414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751414400000",
    "number": "1508755687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5331 TALLGRASS WAY NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301522832",
            "telephone_number": "678-570-4762",
            "fax_number": "678-570-4762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 DALLAS HWY SW STE 660",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300645906",
            "telephone_number": "770-590-8951",
            "fax_number": "770-214-4668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYESINGH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-02",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "AMBAREEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-570-4762",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.