Active NPI
Tiffany Rosell, LDO
- Optician
- Sugar Hill, GA
National Provider Identifier
1740056845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- LDO002788
- Practice address
- 245 Peachtree Industrial Blvd Ste 103
Sugar Hill, GA 30518-9126 - Phone
- (770) 778-4506
- NPI assigned
- Nov 29, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Optician | 156FX1800X | LDO002788 | GA | Primary |
Addresses
Primary practice location
245 Peachtree Industrial Blvd Ste 103
Sugar Hill, GA 30518-9126
Mailing address
635 Emerald Pkwy
Sugar Hill, GA 30518-5668
Phone (770) 778-4506
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LDO002788 | GA | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sweet View Optique Inc | Optician | Current | Accepting new patients |
Locations
245 Peachtree Industrial Blvd
Ste 103
Sugar Hill, GA 30518
Phone (770) 778-4506
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701216000000",
"number": "1740056845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "635 EMERALD PKWY",
"city": "SUGAR HILL",
"state": "GA",
"postal_code": "305185668",
"telephone_number": "770-778-4506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 PEACHTREE INDUSTRIAL BLVD STE 103",
"city": "SUGAR HILL",
"state": "GA",
"postal_code": "305189126",
"telephone_number": "770-778-4506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSELL",
"first_name": "TIFFANY",
"name_prefix": "Mrs.",
"credential": "LDO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-29",
"last_updated": "2023-11-29",
"certification_date": "2023-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "GA",
"license": "LDO002788",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sugar Hill, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.