Active NPI
Asfaw Kindeya Natu, O.D.
- Optometrist
- Decatur, GA
National Provider Identifier
1962524033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT002235
- Practice address
- 2050 Lawrenceville Hwy Ste D50
Decatur, GA 30033-4316 - Phone
- (404) 325-5300
- Fax
- (404) 636-5959
- NPI assigned
- Apr 6, 2007
- Sex
- Male
- 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 | OPT002235 | GA | Primary |
Addresses
Primary practice location
2050 Lawrenceville Hwy Ste D50
Decatur, GA 30033-4316
Mailing address
6303 Five Oaks Way
Tucker, GA 30084-8175
Phone (954) 732-4009
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT002235 | GA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962524033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6303 FIVE OAKS WAY",
"city": "TUCKER",
"state": "GA",
"postal_code": "300848175",
"telephone_number": "954-732-4009",
"fax_number": "404-636-5959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2050 LAWRENCEVILLE HWY STE D50",
"city": "DECATUR",
"state": "GA",
"postal_code": "300334316",
"telephone_number": "404-325-5300",
"fax_number": "404-636-5959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NATU",
"first_name": "ASFAW",
"middle_name": "KINDEYA",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "OPT002235",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.