Individual provider Active NPI

Tami Carby Robertson, O.D.

  • Optometrist
  • Atlanta, GA
National Provider Identifier
1982838975
Registry record updated Feb 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT 002651 Issued in GA
Practice address
3155 Cobb Pkwy SE
Atlanta, GA 30339-5535
Phone
(770) 644-0012
Fax
(770) 644-0091
NPI assigned
May 6, 2009
Last updated
Feb 16, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7349T TX
Optometrist 152W00000X OPT 002651 GA Primary

Addresses

Primary practice location

3155 Cobb Pkwy SE
Atlanta, GA 30339-5535

Mailing address

400 Barrett Pkwy Ste 158
Kennesaw, GA 30144-4952
Phone (770) 429-1660

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
I20140210000399 GA Practitioner - Optometry 0244469476 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT 002651GAMDOptometrist
7349TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ga Doctors of Optometry LLC Optometrist CurrentSince Oct 17, 2021 Accepting new patients
Myeyedr Optometry of Georgia, LLC Optometrist CurrentSince Aug 19, 2017 Accepting new patients
Ga Doctors of Optometry LLC Optometrist CurrentSince Oct 17, 2021 Accepting new patients
Myeyedr Optometry of Georgia, LLC Optometrist CurrentSince Aug 19, 2017 Accepting new patients
Mark Lynn OD & Associates, PC Optometrist CurrentSince Nov 15, 2013 Accepting new patients
Myeyedr Optometry of Georgia, LLC Optometrist Current Accepting new patients
Mark Lynn O.D. & Associates, PC CurrentSince Nov 15, 2013 Accepting new patients

Locations

3155 Cobb Pkwy SE
Ste 110
Atlanta, GA 30339
Phone (770) 644-0012

3456 Wrightsboro Rd
Ste C
Augusta, GA 30909
Phone (706) 733-4786

4875 Altama Ave
Brunswick, GA 31520
Phone (912) 554-0010

50 Main Street Market Pl SE
Ste 100
Cartersville, GA 30121
Phone (770) 382-6379

400 Ernest W Barrett Pkwy NW
Ste 158
Kennesaw, GA 30144
Phone (770) 424-1660

2929 Turner Hill Rd
Ste 2625
Lithonia, GA 30038
Phone (770) 482-5050

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 7

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": "1241568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518739200000",
    "number": "1982838975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 BARRETT PKWY STE 158",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301444952",
            "telephone_number": "770-429-1660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3155 COBB PKWY SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395535",
            "telephone_number": "770-644-0012",
            "fax_number": "770-644-0091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "TAMI",
        "middle_name": "CARBY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-06",
        "last_updated": "2018-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7349T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT 002651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.