Active NPI
Asaf Bullkich, OD
- Optometrist
- Duluth, GA
National Provider Identifier
1568141679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT003508
- Practice address
- 11315 Johns Creek Pkwy Ste 300
Duluth, GA 30097-2644 - Phone
- (678) 737-4824
- NPI assigned
- Jul 17, 2023
- Last updated
- Jul 17, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 | OPT003508 | GA | Primary |
Addresses
Primary practice location
11315 Johns Creek Pkwy Ste 300
Duluth, GA 30097-2644
Mailing address
370 Landing Entry
Alpharetta, GA 30022-7634
Other practice location 1
1034 Haw Creek Cir Ste 100
Cumming, GA 30041-6513
Phone (678) 737-4616
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11315 Johns Creek Pkwy
Suite 300
Johns Creek, GA 30097-1517
Phone (678) 381-2020
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.14 of 100
- Quality
- 94
- Promoting interoperability
- 71
- Improvement activities
- 40
- Cost
- 77.3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT003508 | GA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Milan Eye LLC | Current | Accepting new patients | |
| Alpharetta Eye Surgery Center LLC | Past | Accepting new patients | |
| Buford Eye Surgery Center | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Ambulatory Surgical Clinic/Center
- Alpharetta, GA
- NPI 1164938825
-
- Ambulatory Surgical Clinic/Center
- Buford, GA
- NPI 1609285386
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689552000000",
"number": "1568141679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "370 LANDING ENTRY",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300227634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11315 JOHNS CREEK PKWY STE 300",
"city": "DULUTH",
"state": "GA",
"postal_code": "300972644",
"telephone_number": "678-737-4824"
}
],
"practiceLocations": [
{
"address_1": "1034 Haw Creek Cir Ste 100",
"address_purpose": "LOCATION",
"city": "Cumming",
"state": "GA",
"postal_code": "300416513",
"country_code": "US",
"telephone_number": "678-737-4616",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BULLKICH",
"first_name": "ASAF",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-07-17",
"last_updated": "2023-07-17",
"certification_date": "2023-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "OPT003508",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Duluth, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.