Individual provider Active NPI

Adi Zaionit, O.D.

  • Optometrist
  • Buford, GA
National Provider Identifier
1770786295
Registry record updated Jul 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1784 Issued in GA
Practice address
3264 Buford Dr
Suite 100-a
Buford, GA 30519-8764
Phone
(678) 395-2020
NPI assigned
Jun 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1784 GA Primary

Addresses

Primary practice location

3264 Buford Dr
Suite 100-a
Buford, GA 30519-8764

Mailing address

4664 Ashford Club Dr
Atlanta, GA 30338-5500
Phone (404) 729-0662

Other identifiers 1

IdentifierTypeStateIssuer
1784OtherGAOD LICENSE NUMBER

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

LicenseStateTypeSpecialty
1784GAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373328000000",
    "number": "1770786295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4664 ASHFORD CLUB DR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303385500",
            "telephone_number": "404-729-0662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3264 BUFORD DR",
            "address_2": "SUITE 100-A",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305198764",
            "telephone_number": "678-395-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAIONIT",
        "first_name": "ADI",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-11",
        "last_updated": "2013-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "1784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OD LICENSE NUMBER",
            "identifier": "1784",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buford, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2013; 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.