Individual provider Active NPI

Heer Rinku Vaishnav, OD

  • Optometrist
  • Atlanta, GA
National Provider Identifier
1760664700
Registry record updated Aug 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT002438 Issued in GA
Practice address
3683 E Paces Walk
Atlanta, GA 30326-7804
Phone
(404) 909-4782
NPI assigned
Dec 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT002438 GA Primary

Addresses

Primary practice location

3683 E Paces Walk
Atlanta, GA 30326-7804

Mailing address

3683 East Paces Walk
Atlanta, GA 30326-7811
Phone (404) 909-4782

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
I20130603000060 GA Practitioner - Optometry 6608014634 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT002438GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Buckhead Optics LLC Optometrist CurrentSince Feb 5, 2024 Accepting new patients
Dr. Bruce E. Reid and Associates, PC Optometrist Past Accepting new patients

Locations

3425 Lenox Rd NE
Atlanta, GA 30326
Phone (404) 237-6210

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1196467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312243200000",
    "number": "1760664700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3683 EAST PACES WALK",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303267811",
            "telephone_number": "404-909-4782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3683 E PACES WALK",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303267804",
            "telephone_number": "404-909-4782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAISHNAV",
        "first_name": "HEER",
        "middle_name": "RINKU",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-01",
        "last_updated": "2011-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.