Ambareen Mohamed, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT002012 Issued in GA

Practice address

400 Barrett Pkwy
Suite 617
Kennesaw, GA 30144-4917

Phone

(770) 421-1734

Fax

(770) 421-0319

NPI assigned

Sep 26, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Eyesingh, LLC

  • Optometrist
  • Marietta, GA
  • NPI 1508755687
  NPD Authorized official
• Dr. Bruce E. Reid and Associates, PC

  • Optometrist
  • Kennesaw, GA
  • NPI 1568596500
  NPD

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359417600000",
    "number": "1861593519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 BARRETT PKWY",
            "address_2": "SUITE 617",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301444917",
            "telephone_number": "770-421-1734",
            "fax_number": "770-421-0319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 BARRETT PKWY",
            "address_2": "SUITE 617",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301444917",
            "telephone_number": "770-421-1734",
            "fax_number": "770-421-0319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMED",
        "first_name": "AMBAREEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2013-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joy Mitchell
• Melodie Jeanine Mitchell, D.C.
• Jackson Keith Mize, ATC
• Rebecca Mize, OTRL
• MMKG Counseling Services LLC
• Nadia Mohammed, PA
• Diana Molina Maltez
• David Molina, D.D.S
• Jessica Monahan, PT, DPT
• David Mondecar

• Optometrist in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; 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.

Verify at the official NPI Registry.