Individual provider Active NPI

Mehrdad E Saadat, O.D.

  • Optometrist
  • Lithia Springs, GA
National Provider Identifier
1659469674
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
002245 Issued in GA
Practice address
880 Crestmark Dr Ste 101
Lithia Springs, GA 30122-2646
Phone
(770) 948-0036
Fax
(770) 948-0090
NPI assigned
Oct 11, 2006
Last updated
Sep 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 002245 GA Primary

Addresses

Primary practice location

880 Crestmark Dr Ste 101
Lithia Springs, GA 30122-2646

Mailing address

880 Crestmark Dr Ste 101
Lithia Springs, GA 30122-2646
Phone (770) 948-0036

Other practice location 1

921 Moores Ferry Rd
Villa Rica, GA 30180-9703
Phone (678) 460-0498

Other identifiers 1

IdentifierTypeStateIssuer
902528993AMedicaidGA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080324000120 GA Practitioner - Optometry 0749366318 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Daniel Tulman OD PCGroup PAC ID 8426961194, 5 clinicians

Practice addresses (Care Compare)

880 Crestmark Dr
Lithia Springs, GA 30122-2646
Phone (770) 948-0036

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002245GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tulman Eye Group, PC Optometrist CurrentSince Jul 18, 2009 Accepting new patients
Small Town Eyecare Partners, LLC Optometrist CurrentSince Sep 14, 2025 Accepting new patients

Locations

880 Crestmark Dr
Lithia Springs, GA 30122

880 Crestmark Dr
Ste 101
Lithia Springs, GA 30122
Phone (770) 948-0036

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

Interoperability endpoints

  • Direct secure messaging: msaadat@tulmaneyegroup.eyefinity-direct.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1659469674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 CRESTMARK DR STE 101",
            "city": "LITHIA SPRINGS",
            "state": "GA",
            "postal_code": "301222646",
            "telephone_number": "770-948-0036",
            "fax_number": "770-948-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 CRESTMARK DR STE 101",
            "city": "LITHIA SPRINGS",
            "state": "GA",
            "postal_code": "301222646",
            "telephone_number": "770-948-0036",
            "fax_number": "770-948-0090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "921 Moores Ferry Rd",
            "address_purpose": "LOCATION",
            "city": "Villa Rica",
            "state": "GA",
            "postal_code": "301809703",
            "country_code": "US",
            "telephone_number": "678-460-0498",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAADAT",
        "first_name": "MEHRDAD",
        "middle_name": "E",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "002245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "902528993A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lithia Springs, GA

Sources for this page

Verify at the official NPI Registry.