Individual provider Active NPI

Christina Iden Salehzadeh, O.D.

  • Optometrist
  • Stockbridge, GA
National Provider Identifier
1851731988
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT002762 Issued in GA
Practice address
3552 Highway 138 SE
Stockbridge, GA 30281-4170
Phone
(770) 506-4310
NPI assigned
Jul 3, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT002762 GA Primary

Addresses

Primary practice location

3552 Highway 138 SE
Stockbridge, GA 30281-4170

Mailing address

1332 Park Trce SE
Atlanta, GA 30315-4444

Other practice location 1

3417 Highway 5 Ste B
Douglasville, GA 30135-2378
Phone (770) 949-2020

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
I20150210001588 GA Practitioner - Optometry 1456676634 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3417 Hwy 5
Suite B
Douglasville, GA 30135-2378
Phone (770) 949-2020

3552 Hwy 138 SE
Stockbridge, GA 30281-4170
Phone (770) 506-7310

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Eye Den LLC Optometrist CurrentSince Oct 1, 2025 Accepting new patients
Christina Salehzadeh LLC Optometrist CurrentSince Sep 4, 2019 Accepting new patients
New Vision Optical Inc. PastSince Nov 1, 2019 Accepting new patients
Clarkson Optometry Georgia Inc Optometrist PastSince Sep 13, 2014 Accepting new patients

Locations

3417 Highway 5
Ste B
Douglasville, GA 30135
Phone (770) 949-2020

3552 Highway 138 SE
Stockbridge, GA 30281
Phone (770) 506-4310

3552 Highway 138 SE
Ste 200
Stockbridge, GA 30281

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ecp_cecga
  • Direct secure messaging: christinasalehzadeh@direct.eyecare-partners.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1372809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1851731988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1332 PARK TRCE SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303154444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3552 HIGHWAY 138 SE",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302814170",
            "telephone_number": "770-506-4310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3417 Highway 5 Ste B",
            "address_purpose": "LOCATION",
            "city": "Douglasville",
            "state": "GA",
            "postal_code": "301352378",
            "country_code": "US",
            "telephone_number": "770-949-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALEHZADEH",
        "first_name": "CHRISTINA",
        "middle_name": "IDEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-03",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

Verify at the official NPI Registry.