Ajodha Eyecare LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT002664 Issued in GA

Legal business name

AJODHA EYECARE LLC

Practice address

9464 Main St
Woodstock, GA 30188-3715

Phone

(678) 402-0540

NPI assigned

Mar 16, 2017

Last updated

Mar 16, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Niketha Ajodha, ODNPI 1508147612

Title

Optometrist

Phone

(954) 821-2827

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Niketha Ajodha

  • Optometrist
  • Riverdale, GA
  • NPI 1508147612
  Authorized official Same address or phone

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

{
    "created_epoch": "1489622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489622400000",
    "number": "1609317189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9464 MAIN ST",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301883715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9464 MAIN ST",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301883715",
            "telephone_number": "678-402-0540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AJODHA EYECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-16",
        "last_updated": "2017-03-16",
        "status": "A",
        "authorized_official_last_name": "AJODHA",
        "authorized_official_first_name": "NIKETHA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "954-821-2827",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Obinna Nnamani Agbo, PHARM.D
• Nazila Aghazadeh, LPC
• James Agler
• Brian Adam Aicher, LCSW
• Laura Ainley, PTA
• Maho Akamatsu, MD
• Lina Al-Chaar, DMD
• Michele Rennie Alampi
• Lindsey Albrecht, M. ED., CCC-SLP
• Robert Levi Alday, D.C.

• 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 Mar 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.