Individual provider Active NPI

Asfaw Kindeya Natu, O.D.

  • Optometrist
  • Decatur, GA
National Provider Identifier
1962524033
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT002235 Issued in GA
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
OPT002235GAMDOptometrist

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.

Verify at the official NPI Registry.