DR. DAVID JEFFREY WASSERMAN (NPI# 1235591397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235591397 |
| Entity Type | Individual |
| Full Name | DR. DAVID JEFFREY WASSERMAN |
| Credential | O.D. |
| Practice Address |
1192 Dogwood Dr Sw Conyers GA 30012 |
| Practice Telephone | 7708601919 |
| Practice Fax Number | 7708601607 |
| Mailing Telephone | 7708601919 |
| Mailing Fax Number | 7708601607 |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2016-03-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPT001651 | GA | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902971005 | David Randolph Wasserman | Dentist | 4055 So Spencer Street, Suite 200, Las Vegas, NV 89119-5251 | 2006-11-22 |
| 1659470540 | David Allan Wasserman | Psychologist | 257 Connecticut St, San Francisco, CA 94107-2402 | 2006-09-21 |
| 1912999806 | David F Wasserman | Psychologist | 4882 Mcgrath St, Ste. 210, Ventura, CA 93003-7722 | 2005-08-17 |
| 1184988404 | David Jacob Wasserman | Internal Medicine | 1955 Memorial Dr, Danville, VA 24541-4712 | 2012-07-02 |
| 1972753200 | David Arthur Wasserman | Emergency Medicine | 555 North Ave, Suite 1-p, Fort Lee, NJ 07024-2404 | 2008-09-23 |
| 1518988179 | David Wasserman | Radiology | 200 N Berteau Ave, Elmhurst, IL 60126-2966 | 2006-07-21 |
| 1598781288 | David P Wasserman | Family Medicine | 1927 Lohmans Crossing Rd, Suite 200, Austin, TX 78734-5243 | 2006-07-14 |
| Street Address |
1192 DOGWOOD DR SW |
| City | CONYERS |
| State | GA |
| Zip Code | 30012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578188306 | The Eye Md | Ophthalmology | 1359 Milstead Road, Suite #103, Conyers, GA 30012 | 2020-06-08 |
| 1043855836 | Maurvet Minto | Counselor | 1175 Green St, Conyers, Conyers, GA 30012 | 2019-11-15 |
| 1770054561 | Sarah Elizabeth Brooks | Physical Medicine & Rehabilitation | 1290 Milstead Ave Ne, Conyers, GA 30012 | 2018-12-06 |
| 1679091276 | Valorie Antoinette Jones | Counselor | 1175 Green St Se, Conyers, GA 30012 | 2017-09-02 |
| 1558886341 | Synergy Radiology, LLC | Radiology | 1501 Milstead Road, Suite 140, Conyers, GA 30012 | 2017-08-14 |
| 1558813295 | Salon Lyon, LLC | Specialist | 1112 West Ave, Se, B, Conyers, GA 30012 | 2016-10-28 |
| 1992252753 | Traci Hunter Bryan | Pharmacist | 1501 Milstead Ave Ne, Suite 110, Conyers, GA 30012 | 2016-09-08 |
| 1316491830 | Hye Rim Kim | Anesthesiologist Assistant | 1380 Milstead Rd Ne, Suite G, Conyers, GA 30012 | 2016-08-12 |
| 1174919187 | Anique Archer | Health Educator | 2170 Lester Rd Nw, Conyers, GA 30012 | 2015-04-07 |
| 1932468733 | Leslie Anne Styles | Counselor | 970 North Milstead Ave, Conyers, GA 30012 | 2012-05-14 |
| Find all providers in zip 30012 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144854753 | Atl Optical LLC | Optometrist | 1285 Ga 138, Conyers, GA 30013 | 2020-02-24 |
| 1457511149 | R Wayne Baker Od PC | Optometrist | 1455aold Mc Donough Rd, Conyers, GA 30094-5979 | 2008-06-16 |
| 1811024045 | East Georgia Eyecare LLC | Optometrist | 1192 Dogwood Dr., Conyers, GA 30012-5454 | 2007-02-27 |
| 1467524090 | Eastmetro Eyecare P.C. | Optometrist | 1013 E Freeway Dr Se, Conyers, GA 30094-5965 | 2006-11-15 |
| 1629163928 | Paige Bush Foster | Optometrist | 1013 East Freeway Drive, Conyers, GA 30094 | 2006-10-03 |
| 1528163045 | William Patrick Parks | Optometrist | 1192 Dogwood Drive Sw, Conyers, GA 30012-5454 | 2006-09-13 |
| 1669583563 | R. Wayne Baker | Optometrist | 1455a Old Mcdonough Rd.se, Conyers, GA 30094-5979 | 2006-08-31 |
| 1871530964 | Stacy U Carson | Optometrist | 805 Commerce Dr Sw, Suite A, Conyers, GA 30094-6606 | 2006-05-31 |
| 1770543720 | David L Grosswald | Optometrist | 1192 Dogwood Drive, Conyers, GA 30012-5454 | 2006-03-24 |
| 1699239525 | Menae Miller, O.d., P.C. | Optometrist | 1436 Dogwood Dr Se, Conyers, GA 30013-5091 | 2019-01-24 |
| Find all providers in CONYERS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.