MEHDI KAZEMZADEH (NPI# 1306921101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306921101 |
| Entity Type | Individual |
| Full Name | MEHDI KAZEMZADEH |
| Credential | O.D. |
| Practice Address |
575 Professional Dr Suite 100 Lawrenceville GA 30046-3333 |
| Mailing Address |
575 Professional Dr Ste 100 Lawrenceville GA 30046-3300 |
| Practice Telephone | 6789932020 |
| Mailing Telephone | 7708229747 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2019-09-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
OPT001423 | GA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000824865B | 05 |
| Street Address |
575 PROFESSIONAL DR SUITE 100 |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30046-3333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669478830 | Kenneth Jay Sobel | Internal Medicine | 575 Professional Dr, Ste 510, Lawrenceville, GA 30045-3336 | 2005-06-22 |
| 1992241913 | Jemimah Miriam Varghese | Registered Nurse | 575 Professional Dr, Suite 165, Lawrenceville, GA 30046-3333 | 2017-01-14 |
| 1992161624 | Benita Merin Mathew | Anesthesiologist Assistant | 575 Professional Dr, #165, Lawrenceville, GA 30046-3333 | 2016-01-11 |
| 1811370737 | Gregg Snider | Anesthesiologist Assistant | 575 Professional Dr, Lawrenceville, GA 30046-3333 | 2015-07-09 |
| 1316293350 | Carolyn Lovejoy Stegall | Nurse Practitioner | 575 Professional Dr, #510, Lawrenceville, GA 30046-3333 | 2012-07-27 |
| 1487974853 | Mehdi Kazemzadeh, Optometrist, P C | Optometrist | 575 Professional Dr, 100, Lawrenceville, GA 30046-3333 | 2010-06-08 |
| 1033370762 | Bennett H. Bruckner,m.d., P.C. | Internal Medicine | 575 Professional Dr, Suite 290, Lawrenceville, GA 30045-3333 | 2008-06-25 |
| 1134390487 | Adult Primary Care Associates of Greater Gwinnett, LLC | Internal Medicine | 575 Professional Dr, Suite 510, Lawrenceville, GA 30045-3333 | 2008-03-14 |
| 1073716908 | Sleep Health Diagnostics, LLC. | Clinic/Center | 575 Professional Dr, Suite 260, Lawrenceville, GA 30046-3333 | 2007-06-07 |
| 1891902714 | Robert Emerson Ayer | Neurological Surgery | 575 Professional Dr, Suite 350, Lawrenceville, GA 30046-3333 | 2007-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063023174 | Alpha & Omega Hearing Centers | Hearing Instrument Specialist | Alpha & Omega Hearing Centers, 250 Langley Drive, Suite 1106, Lawrenceville, GA 30046 | 2020-08-12 |
| 1285259846 | Mesun Health Services, Inc | Clinical Nurse Specialist | 88 Johnson Rd Building # 1-b, Lawrenceville, GA 30046 | 2020-06-10 |
| 1215550264 | Mesun Health Services, Inc | Skilled Nursing Facility | 88 Johnson Rd. Building #2, Lawrenceville, GA 30046 | 2020-05-26 |
| 1306499785 | Bryan Acosta | Chiropractor | 471 Scenic Hwy South, Lawrenceville, GA 30046 | 2019-07-24 |
| 1205308616 | Belle Lumiere Cosmetics LLC | Dermatology | 753 Old Norcross Road, Lawrenceville, GA 30046 | 2018-12-24 |
| 1548730179 | Alexis Nicole Robinson | Nurse Anesthetist, Certified Registered | 1000 Medical Center Boulevard, Lawrenceville, GA 30046 | 2018-11-27 |
| 1679060388 | Christopher Puckett | Student in an Organized Health Care Education/Training Program | 665 Duluth Hwy Suite 501, Lawrenceville, GA 30046 | 2018-04-18 |
| 1457851255 | Advanced Urology Institute of Georgia | Urology | 501 Crown Point Way, Lawrenceville, GA 30046 | 2018-02-19 |
| 1013447044 | Pharmacy Investments of Lawrenceville, LLC | Pharmacy | 738 Old Norcross Road, Ste A, Lawrenceville, GA 30046 | 2017-06-13 |
| 1225577000 | Priority Housecalls LLC | Clinic/Center | 225 Scenic Hwy, Ste 200, Lawrenceville, GA 30046 | 2017-02-14 |
| Find all providers in zip 30046 | ||||
| Taxonomy Code | 152WC0802X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Corneal and Contact Management |
| The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea’s ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306146154 | Thanh Dau | Optometrist | 1250 Scenic Highway, Ste 1268, Lawrenceville, GA 30045 | 2010-10-27 |
| 1003017294 | Saji Mathew | Optometrist | 205 Quaker Bridge Mall, Lawrenceville, NJ 08648-1900 | 2007-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437791076 | Shipley & Wayland Eyecare LLC | Optometrist | 7768 Cumming Hwy Ste 500, Canton, GA 30115-2984 | 2019-10-15 |
| 1023463528 | Eminence Family Eyecare, LLC | Optometrist | 6300 Atlanta Hwy # 9, Suite 101a, Alpharetta, GA 30004-7821 | 2016-05-03 |
| 1689066284 | Dr James L Purvis, LLC | Optometrist | 7104 Waterstone Pl, Buford, GA 30518-5125 | 2015-02-19 |
| 1679878524 | Optique At Brookhaven, LLC | Optometrist | 305 Brookhaven Ave, Sw 1110, Atlanta, GA 30319-4316 | 2011-01-24 |
| 1952617300 | Sima Dori | Optometrist | 2204 Cherring Ln, Dunwoody, GA 30338-5229 | 2010-08-24 |
| 1720217771 | Advanced Eye Associates LLC | Optometrist | 2645 Dallas Hwy Sw, Suite 100, Marietta, GA 30064-2541 | 2009-07-13 |
| 1750541355 | Mcarthur Griffin | Optometrist | 1700 Mount Zion Rd, Morrow, GA 30260-3014 | 2008-06-17 |
| 1942428362 | Farhad Kapadia | Optometrist | 2994 Turner Hill Rd, Lithonia, GA 30038-2526 | 2007-04-23 |
| 1225161185 | Robert Joseph Barnes | Optometrist | 650 Ponce De Leon Ave Ne, Suite 630a, Atlanta, GA 30308-1804 | 2007-03-13 |
| 1326174400 | John Christy Snyder | Optometrist | 135 N Broad St, Winder, GA 30680-2110 | 2007-02-26 |
| Find all providers with the same taxonomy | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30046 |
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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.