George David Shida, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT 000917 Issued in GA

Practice address

901 Abernathy Rd
Suite 100
Sandy Springs, GA 30328-2562

Phone

(404) 252-1702

Fax

(404) 303-8843

NPI assigned

Mar 8, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Optometry

Education

University of Alabama School of Medicine, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye 1St Holdings LLCGroup PAC ID 8729074380, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Eye 1St Holdings LLC

  dba Eye 1st Vision Center

  • Optometrist
  • Sandy Springs, GA
  • NPI 1699830091
  Medicare reassignment Care Compare group NPD Authorized official
• Eugene B Gabianelli MD & Assoc LLC

  dba Center for Sight

  • Durable Medical Equipment & Medical Supplies
  • Conyers, GA
  • NPI 1912710393

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1508834516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 ABERNATHY RD",
            "address_2": "SUITE 100",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303282562",
            "telephone_number": "404-252-1702",
            "fax_number": "404-303-8843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 ABERNATHY RD",
            "address_2": "SUITE 100",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303282562",
            "telephone_number": "404-252-1702",
            "fax_number": "404-303-8843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIDA",
        "first_name": "GEORGE",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT 000917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "823239700A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "410348887A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jyoti Sharma, MD
• Jaclyn Crystal Sheehan, PTA
• Tyler Sheffel
• Darriun Shelton
• Shepard Health LLC
• Deondra Shipp, PHARMD, RPH
• Destiny Shiver
• Stephanie Shockley, LMT,CPPM
• Shoka Health, LLC
• Cyrus Shokoohi, DMD

• Optometrist in Sandy Springs, GA
• Providers in Sandy Springs, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.