Individual provider Active NPI

Michael Scott Rothschild, O.D.

  • Optometrist
  • Carrollton, GA
National Provider Identifier
1528053774
Registry record updated Apr 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT001667 Issued in GA
Practice address
619 Dixie St
Carrollton, GA 30117-3816
Phone
(770) 834-0212
Fax
(770) 834-0123
NPI assigned
Sep 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT001667 GA Primary

Addresses

Primary practice location

619 Dixie St
Carrollton, GA 30117-3816

Mailing address

619 Dixie St
Carrollton, GA 30117-3816
Phone (770) 834-0212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060105000461 GA Practitioner - Optometry 4688697634 Reassigns benefits to 3 organizations
I20190122003564 AL Practitioner - Optometry 4688697634 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT001667GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama at Birmingham CurrentSince Jan 2, 2019 Accepting new patients
University of Alabama at Birmingham Current Accepting new patients
Small Town Eyecare Partners, LLC Optometrist CurrentSince Apr 4, 2019 Accepting new patients
Rainey Professional Association Optometrist CurrentSince Jan 1, 2022 Accepting new patients
The University of Alabama at Birmingham Optometrist CurrentSince Jan 2, 2019 Accepting new patients
Lagrange Eye, LLC Optometrist Current Accepting new patients
West Georgia Eye Care Optometrist CurrentSince Apr 16, 1999 Accepting new patients

Locations

1716 University Blvd
Birmingham, AL 35233
Phone (205) 934-3899

1716 University Blvd
Birmingham, AL 35294

619 Dixie St
Carrollton, GA 30117
Phone (770) 834-0212

208 Smith St
Lagrange, GA 30240
Phone (706) 882-0166

921 Moores Ferry Rd
Ste C
Villa Rica, GA 30180
Phone (678) 460-0498

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303344000000",
    "number": "1528053774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 DIXIE ST",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173816",
            "telephone_number": "770-834-0212",
            "fax_number": "770-834-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 DIXIE ST",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173816",
            "telephone_number": "770-834-0212",
            "fax_number": "770-834-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHSCHILD",
        "first_name": "MICHAEL",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2011-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT001667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, GA

Sources for this page

Verify at the official NPI Registry.