Nassar Enterprises

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

54428 Issued in GA

Legal business name

NASSAR ENTERPRISES

Practice address

777 Cleveland Ave SW Ste 616
Atlanta, GA 30315-7116

Phone

(404) 766-6268

NPI assigned

Sep 26, 2013

Organization subpart

No

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

Authorized official

Name

Denise Alexander

Title

Manager

Phone

(404) 766-6268

Specialties & licenses 2

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Eye Specialists of Georgia2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Nassar Enterprises,LLC

  • Ophthalmology Physician
  • Atlanta, GA
  • NPI 1609056480
  NPD tax ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ahmed Mostafa Nassar, M.D.

  • Ophthalmology Physician
  • Atlanta, GA
  • NPI 1740267806
  NPD
• Lashaundra Dangerfield, OD

  • Optometrist
  • Tuscaloosa, AL
  • NPI 1649784232
  NPD

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

{
    "created_epoch": "1380153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380153600000",
    "number": "1922435601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6524 PROFESSIONAL PL",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302742520",
            "telephone_number": "770-996-2096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 CLEVELAND AVE SW STE 616",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303157116",
            "telephone_number": "404-766-6268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASSAR ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-26",
        "last_updated": "2013-09-26",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "404-766-6268"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "GA",
            "license": "54428",
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "GA",
            "license": "54428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "6111490001",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abdulrahman Nasiru
• Hani Anthony Nasr, MD
• Michael Chistopher Nasr, M.D.
• Maredith Close Nasrallah, FNP-C
• Sheila Nasre, PHARMD
• Nassar Enterprises,LLC
• Ahmed Mostafa Nassar, M.D.
• Panida Nasseh, D.D.S.
• Adem A Nasser, MD
• Jason Nasser, MD

• All providers in Atlanta, GA
• Eyewear Supplier in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.