Hira Nawal Fatima, OD
Individual provider Active NPI Optometrist · Bethlehem, GA
NPI 1811545965 · NPPES record last updated Mar 11, 2026
Key facts
- NPI
- 1811545965
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- OPT003216 (GA)
- Practice address
- 916 Loganville Hwy
Bethlehem, GA 30620-2144 - Phone
- (504) 222-5412
- NPI assigned
- Sep 2, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201217001780 | GA | Practitioner - Optometry | 0143632026 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT003216 | GA | MD | Optometrist |
| OPT006741 | OH | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ga Doctors of Optometry LLC | Optometrist | Current |
Accepting new patients |
| H&K Optical LLC | Optometrist | Current | Accepting new patients |
| Mark Lynn OD & Associates, PC | Optometrist | Current |
Accepting new patients |
| Mark Lynn O.D. & Associates, PC | Current |
Accepting new patients | |
| Ga Doctors of Optometry LLC | Optometrist | Current |
Accepting new patients |
Locations
916 Loganville Hwy
Bethlehem, GA 30620
Phone (678) 975-3061
50 Main Street Market Pl SE
Ste 100
Cartersville, GA 30121
Phone (770) 382-6379
6700 Douglas Blvd
Ste 1550
Douglasville, GA 30135
Phone (770) 852-1002
2929 Turner Hill Rd
Ste 2625
Lithonia, GA 30038
Phone (770) 482-5050
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT003216 | GA | Yes |
| Optometrist | 152W00000X | OPT006741 | OH |
Addresses
Primary practice location
916 Loganville Hwy
Bethlehem, GA 30620-2144
Mailing address
3920 Lake Burton Dr
Duluth, GA 30097-7928
Phone (504) 222-5412
Other providers in Bethlehem, GA
- Chelsea Elkins
- Empowering Little Talkers Speech Therapy Services, LLC
- Everbuds Pediatric Dentistry LLC
- Eye MD Surgery Center LLC
- Family Personal Care Home Inc
- Favourite Diagnostic Solutions and Healthcare Services
- Favourite Healthcare Services LLC
- Mikayla Lynne Ferguson
- Katelyn Fields
- Hawwa Sharif Frazier
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.