Active NPI
Lena Cynthia Masopust, OD
- Optometrist
- Duluth, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT001453
- Practice address
- 2100 Pleasant Hill Rd
H10-1
Duluth, GA 30096-4701 - Phone
- (678) 475-0500
- Fax
- (678) 475-0563
- NPI assigned
- Jul 18, 2006
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT001453 | GA | Primary |
Addresses
Primary practice location
2100 Pleasant Hill Rd
H10-1
Duluth, GA 30096-4701
Mailing address
11103 West Ave
6
San Antonio, TX 78213-1370
Phone (210) 524-6663
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ga Doctors of Optometry LLC | Optometrist | Current | Accepting new patients |
| Ga Doctors of Optometry LLC | Optometrist | Current | Accepting new patients |
| Mark Lynn O.D. & Associates, PC | Current | Accepting new patients | |
| Mark Lynn OD & Associates, PC | Optometrist | Current | Accepting new patients |
| Luxottica of America Inc | Past | Accepting new patients |
Locations
50 Main Street Market Pl SE
Ste 100
Cartersville, GA 30121
Phone (770) 382-6379
2100 Pleasant Hill Rd
#H101
Duluth, GA 30096
Phone (678) 475-0500
165 Pavilion Pkwy
Fayetteville, GA 30214
Phone (678) 817-4875
2929 Turner Hill Rd
Ste 2625
Lithonia, GA 30038
Phone (770) 482-5050
1905 Scenic Hwy N
Ste 1130
Snellville, GA 30078
Phone (678) 344-9954
Organizations & group practices 5
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.
-
- Optometrist
- Lithonia, GA
- NPI 1174105936
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1841218518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11103 WEST AVE",
"address_2": "6",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782131370",
"telephone_number": "210-524-6663",
"fax_number": "210-524-6587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 PLEASANT HILL RD",
"address_2": "H10-1",
"city": "DULUTH",
"state": "GA",
"postal_code": "300964701",
"telephone_number": "678-475-0500",
"fax_number": "678-475-0563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASOPUST",
"first_name": "LENA",
"middle_name": "CYNTHIA",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "OPT001453",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Duluth, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.