Active NPI
Paula Lynn Gorlin, OD
- Optometrist
- Lawrenceville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1130T
- Practice address
- 875 Lawrenceville Suwanee Rd
Ste 560
Lawrenceville, GA 30043 - Phone
- (770) 963-0370
- NPI assigned
- Jan 30, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 1130T | GA | Primary |
Addresses
Primary practice location
875 Lawrenceville Suwanee Rd
Ste 560
Lawrenceville, GA 30043
Mailing address
2027 Lakesprings Way
Atlanta, GA 30338
Phone (404) 964-4532
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00976962A | Medicaid | GA | |
| 911747 | Other | AETNA | |
| 910744 | Other | EYEMED |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1130T | GA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of Georgia, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Georgia, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Georgia, LLC | Optometrist | Current | Accepting new patients |
| Richard Heggeland, OD, PC | Optometrist | Past | Accepting new patients |
Locations
3975 Old Milton Pkwy
Ste 2
Alpharetta, GA 30005
Phone (678) 624-7766
2549 Piedmont Rd NE
Ste 120
Atlanta, GA 30324
Phone (404) 467-0717
3155 Cobb Pkwy SE
Ste 110
Atlanta, GA 30339
Phone (770) 644-0012
2184 Henderson Mill Rd NE
Ste 12B
Atlanta, GA 30345
Phone (770) 491-1255
4875 Altama Ave
Brunswick, GA 31520
Phone (912) 554-0010
217 Riverstone Dr
Canton, GA 30114
Phone (770) 345-5220
6555 Sugarloaf Pkwy
Ste 305
Duluth, GA 30097
Phone (773) 495-0937
875 Lawrenceville Suwanee Rd
Lawrenceville, GA 30043
Phone (770) 822-2199
875 Lawrenceville Suwanee Rd
Ste 560
Lawrenceville, GA 30043
Phone (770) 963-0370
1044 Avalon Pkwy
McDonough, GA 30253
Phone (770) 898-7078
1570 Old Alabama Rd
Ste 106
Roswell, GA 30076
Phone (770) 557-0039
5940 Roswell Rd
Sandy Springs, GA 30328
Phone (404) 843-2020
1000 Peachtree Industrial Blvd
Ste 14
Suwanee, GA 30024
Phone (770) 271-0611
1000 Peachtree Industrial Blvd
Suwanee, GA 30024
Phone (770) 271-0611
198 S Houston Lake Rd
Ste B
Warner Robins, GA 31088
Phone (478) 971-1500
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
1950 Old Gallows Rd
Ste 520
Vienna, VA 22182
Interoperability endpoints
- direct@totalvisionllclawrencevillega.compulinkdirect.com
Organizations & group practices 4
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
- Rincon, GA
- NPI 1437294592
-
- Optometrist
- Tyrone, GA
- NPI 1275326571
-
- Optometrist
- Lawrenceville, GA
- NPI 1447623665
-
- Optometrist
- Suwanee, GA
- NPI 1275793291
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510876800000",
"number": "1861463705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2027 LAKESPRINGS WAY",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30338",
"telephone_number": "404-964-4532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "875 LAWRENCEVILLE SUWANEE RD",
"address_2": "STE 560",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "30043",
"telephone_number": "770-963-0370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORLIN",
"first_name": "PAULA",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-01-30",
"last_updated": "2017-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "1130T",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00976962A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "911747",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYEMED",
"identifier": "910744",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lawrenceville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2017; 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.