Susan Reimbold O.D., P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

GA001567 Issued in GA

Legal business name

SUSAN REIMBOLD O.D., P.C.

Practice address

4180 Old Milton Pkwy
Suite 1-D
Alpharetta, GA 30005-2408

Phone

(770) 776-9000

NPI assigned

May 29, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Susan Reimbold, ODNPI 1033236492

Title

Optometry

Phone

(770) 776-9000

Specialties & licenses 1

Addresses

Other names 1

• Reimbold Eye Group Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan Marie Reimbold, O.D.

  • Optometrist
  • Alpharetta, GA
  • NPI 1033236492

  GA

  Medicare reassignment Authorized official
• Alisha Rose Niswonger, OD

  • Occupational Vision Optometrist
  • Alpharetta, GA
  • NPI 1932752458

  GA

  Medicare reassignment NPD

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

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401321600000",
    "number": "1790197366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4180 OLD MILTON PKWY",
            "address_2": "SUITE 1-D",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300052408",
            "telephone_number": "770-776-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4180 OLD MILTON PKWY",
            "address_2": "SUITE 1-D",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300052408",
            "telephone_number": "770-776-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN REIMBOLD O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-29",
        "last_updated": "2014-05-29",
        "status": "A",
        "authorized_official_last_name": "REIMBOLD",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OPTOMETRY",
        "authorized_official_telephone_number": "770-776-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "GA001567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reimbold Eye Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Hillary Sutton, RD
• Meghan Louise Sutton, LMFT

• All providers in Alpharetta, GA
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.