| NPI | 1063562353 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2007-01-11 |
| Last Updated | 2025-09-03 |
| Authorized Official | Mehrdad Saadat President Phone: 7709480036 |
| Mailing Address | 880 Crestmark Dr Ste 101 Lithia Springs, GA 30122-2646 United States Phone: (770) 948-0036 | Fax: (770) 948-0090 📍 View Map |
| Primary Practice Address | 880 Crestmark Dr, Ste 101 Lithia Springs, GA 30122-2646 United States Phone: (770) 948-0036 | Fax: (770) 948-0090 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | GA | 00153645A | — |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 152W00000X – Optometrist | GA | 814 |
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About NPI 1063562353
Tulman Eye Group, Pc is an organization registered in the CMS NPPES NPI Registry with NPI number 1063562353. The primary specialty listed is Optometrist. The organization is located in Lithia Springs, GA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-01-11. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1063562353?
NPI 1063562353 belongs to Tulman Eye Group, Pc, a Optometrist in Lithia Springs, GA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1063562353 active?
The current status of NPI 1063562353 in the NPPES registry is Active. The record was last updated on 2025-09-03.
What specialty is NPI 1063562353?
NPI 1063562353 is classified under the taxonomy Optometrist. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1063562353?
You can verify NPI 1063562353 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1063562353?
The primary practice address on file for NPI 1063562353 is 880 Crestmark Dr, Lithia Springs, GA 30122-2646. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1063562353 issued?
NPI 1063562353 was first issued (enumerated) on 2007-01-11. The NPPES record was last updated on 2025-09-03.
Practice Location Map
Tulman Eye Group, Pc is located at 880 Crestmark Dr, Lithia Springs, GA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Tulman Eye Group, Pc. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1063562353. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Optometrist | 814 | GA |