Individual provider Active NPI

Brian A Kahn, O.D.

  • Optometrist
  • Atlanta, GA
National Provider Identifier
1962412783
Registry record updated Apr 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT001163 Issued in GA
Practice address
3120 Maple Dr NE
Atlanta, GA 30305-2608
Phone
(404) 233-3267
Fax
(404) 233-4399
NPI assigned
Aug 8, 2006
Last updated
Apr 14, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT001163 GA Primary

Addresses

Primary practice location

3120 Maple Dr NE
Atlanta, GA 30305-2608

Mailing address

771 Old Norcross Rd
Suite 150
Lawrenceville, GA 30045-4386
Phone (770) 995-5408

Other identifiers 1

IdentifierTypeStateIssuer
P00342584OtherRAILROAD MEDICARE

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
I20060425000322 GA Practitioner - Optometry 1456361203 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgia Eye Associates, P.C.Group PAC ID 9830187152, 8 clinicians

Practice addresses (Care Compare)

771 Old Norcross Rd
Suite 150
Lawrenceville, GA 30046-4979
Phone (770) 995-5408

Merit-based Incentive Payment System (MIPS)

Final score
91.66 of 100Reported as group
Quality
100
Improvement activities
40
Cost
72.19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eugene B. Gabianelli, MD & Assoc. LLC Current Accepting new patients
Georgia Eye Associates, P.C. Optometrist CurrentSince Sep 1, 2006 Accepting new patients
Urology of Greater Atlanta LLC Past Accepting new patients

Locations

3120 Maple Dr NE
Atlanta, GA 30305
Phone (404) 233-3267

771 Old Norcross Rd
Ste 150
Lawrenceville, GA 30046
Phone (770) 995-5408

2368 Main St
Ste 2
Tucker, GA 30084

Interoperability endpoints

  • Direct secure messaging: bkahn@espgep.intellechartdirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239667200000",
    "number": "1962412783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "771 OLD NORCROSS RD",
            "address_2": "SUITE 150",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300454386",
            "telephone_number": "770-995-5408",
            "fax_number": "770-513-2042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 MAPLE DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303052608",
            "telephone_number": "404-233-3267",
            "fax_number": "404-233-4399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAHN",
        "first_name": "BRIAN",
        "middle_name": "A",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2009-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT001163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00342584",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.