Active NPI
Nassar Enterprises,LLC
- Ophthalmology Physician
- Atlanta, GA
National Provider Identifier
1609056480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 054428
- Legal business name
- NASSAR ENTERPRISES,LLC
- Practice address
- 777 Cleveland Ave SW
Suite 616
Atlanta, GA 30315-7116 - Phone
- (404) 766-6268
- NPI assigned
- Nov 8, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ahmed Nassar, M.D.
- Title
- President/ Owner
- Phone
- (404) 766-6268
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 054428 | GA | Primary |
Addresses
Primary practice location
777 Cleveland Ave SW
Suite 616
Atlanta, GA 30315-7116
Mailing address
777 Cleveland Ave SW
Suite 616
Atlanta, GA 30315-7129
Phone (404) 766-6268
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 971776772B | Medicaid | GA | |
| P00479394 | Other | GA | RAIL ROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080225000166 | GA | Part B Supplier - Clinic/Group Practice | 1850475252 |
Receives reassigned benefits from 6 practitioners Practice locations: Atlanta, GA; Peachtree City, GA; Riverdale, GA |
| O20100930022213 | GA | DME Supplier - Physician - Optometrist | 1850475252 | Practice locations: Atlanta, GA |
National Provider Directory
National Provider Directory- Tax ID family
- Eye Specialists of Georgia
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Eyewear Supplier
- Atlanta, GA
- NPI 1922435601
Locations
777 Cleveland Ave SW
Ste 616
Atlanta, GA 30315
Phone (404) 766-6268
303 Prime Pt
Peachtree Cty, GA 30269
Phone (404) 806-8773
303 Prime Pt
Ste 616
Peachtree Cty, GA 30269
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Peachtree City, GA
- NPI 1891897682
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194480000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785196800000",
"number": "1609056480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 CLEVELAND AVE SW",
"address_2": "SUITE 616",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303157129",
"telephone_number": "404-766-6268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 CLEVELAND AVE SW",
"address_2": "SUITE 616",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303157116",
"telephone_number": "404-766-6268"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NASSAR ENTERPRISES,LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-08",
"last_updated": "2026-07-28",
"certification_date": "2026-07-28",
"status": "A",
"authorized_official_last_name": "NASSAR",
"authorized_official_first_name": "AHMED",
"authorized_official_title_or_position": "PRESIDENT/ OWNER",
"authorized_official_telephone_number": "404-766-6268",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "GA",
"license": "054428",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "971776772B",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "P00479394",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.