Active NPI
Natalie Ezzell, OD
- Optometrist
- Cartersville, GA
National Provider Identifier
1518691898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT003437
- Practice address
- 460 Cherokee PL
Cartersville, GA 30121-2963 - Phone
- (678) 535-5180
- NPI assigned
- Jul 13, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT003437 | GA | Primary |
Addresses
Primary practice location
460 Cherokee PL
Cartersville, GA 30121-2963
Mailing address
8856 W Pine Bluff St
Crystal River, FL 34428-6988
Phone (352) 613-0784
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT003437 | GA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| National Vision, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba America's Best Contacts & Eyeglasses
- Optician
- Cartersville, GA
- NPI 1427447531
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657670400000",
"number": "1518691898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8856 W PINE BLUFF ST",
"city": "CRYSTAL RIVER",
"state": "FL",
"postal_code": "344286988",
"telephone_number": "352-613-0784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "460 CHEROKEE PL",
"city": "CARTERSVILLE",
"state": "GA",
"postal_code": "301212963",
"telephone_number": "678-535-5180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EZZELL",
"first_name": "NATALIE",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-13",
"last_updated": "2022-07-13",
"certification_date": "2022-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "OPT003437",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cartersville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.