Individual provider Active NPI

Paula Lynn Gorlin, OD

  • Optometrist
  • Lawrenceville, GA
National Provider Identifier
1861463705
Registry record updated Nov 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1130T Issued in GA
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

Updated by the provider on Nov 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00976962AMedicaidGA
911747OtherAETNA
910744OtherEYEMED

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
I20060224000422 GA Practitioner - Optometry 7810903119 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1130TGAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Georgia, LLC Optometrist CurrentSince Feb 1, 2016 Accepting new patients
Myeyedr Optometry of Georgia, LLC Optometrist CurrentSince Feb 1, 2016 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 secure messaging: 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.

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

Verify at the official NPI Registry.