Sidney A Gottlieb, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT001095 Issued in GA

Practice address

12182 Highway 92
Woodstock, GA 30188-4481

Phone

(770) 591-9838

NPI assigned

Mar 20, 2007

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

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 Alabama Birmingham - School of Optometry, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Georgia Eye SpecialistsGroup PAC ID 0941297337, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Georgia Eye Specialists

  • Specialist
  • Marietta, GA
  • NPI 1790819407
  Medicare reassignment Care Compare group NPD
• Sidney a. Gottlieb, O.D., P.C.

  • Optometrist
  • Woodstock, GA
  • NPI 1073859187
  NPD (past) Authorized official

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1588789762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 GATSBY PL",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300226160",
            "telephone_number": "770-993-1098",
            "fax_number": "678-445-3803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12182 HIGHWAY 92",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301884481",
            "telephone_number": "770-591-9838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTTLIEB",
        "first_name": "SIDNEY",
        "middle_name": "A",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT001095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachael Brooke-Ann Gordon-Tupman, MSN, APRN, FNP-BC
• Raegan Lentz Gordon, BCBA
• Evan Steve Gore, CAC II
• Patricia E. Gore, PSY.D.
• Dana Gorum
• Christopher Allen Goult, PT, DPT
• Graham Pediatrics of Woodstock LLC
• Fitzroy Henry Graham, MD
• Rachel Graham, NTP
• Rebecca Crawford Graham, MA, LPC, CACII

• Optometrist in Woodstock, GA
• Providers in Woodstock, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.