KELSEY MOODY MILESKI (NPI# 1023492741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023492741 |
| Entity Type | Individual |
| Full Name | KELSEY MOODY MILESKI |
| Credential | OD |
| Practice Address |
1365 Clifton Rd Ne Bldg B Atlanta GA 30322-1013 |
| Practice Telephone | 4047782020 |
| Mailing Telephone | 4047782020 |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2019-03-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPT003078 | GA | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | OEG003028 | PA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | CAQH NUMBER | 13584689 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1365 Clifton Rd Ne Bldg B, Atlanta, GA 303221013 | 4047782020 | |
| 1200 W Godfrey Ave, Philadelphia, PA 19141 | 2152766173 | 2152761329 |
| Street Address |
1365 CLIFTON RD NE BLDG B |
| City | ATLANTA |
| State | GA |
| Zip Code | 30322-1013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669482931 | Sharon M Graves | Internal Medicine | 1365 Clifton Rd Ne Bldg B, The Emory Clinic B Nephrology, Atlanta, GA 30322-1013 | 2006-08-09 |
| 1104389253 | Ali Alawieh | Student in an Organized Health Care Education/Training Program | 1365 Clifton Rd Ne Bldg B, Atlanta, GA 30322-1013 | 2019-04-06 |
| 1922590942 | Janette Leigh Dimonda | Genetic Counselor, MS | 1365 Clifton Rd Ne Bldg B, Atlanta, GA 30322-1013 | 2018-06-05 |
| 1750888442 | Jason J Lamanna | Student in an Organized Health Care Education/Training Program | 1365 Clifton Rd Ne Bldg B, Atlanta, GA 30322-1013 | 2018-04-09 |
| 1356868616 | Kandi Lee Schmidt | Psychologist | 1365 Clifton Rd Ne Bldg B, Atlanta, GA 30322-1013 | 2017-08-28 |
| 1033644174 | Ricardo Mendez | Physician Assistant | 1365 Clifton Rd Ne Bldg B, Atlanta, GA 30322-1013 | 2017-04-26 |
| 1942754759 | Boris Severinsky | Optometrist | 1365 Clifton Rd Ne Bldg B, Atlanta, GA 30322-1013 | 2016-08-09 |
| 1477006146 | Catherine Blair | Physician Assistant | 1365 Clifton Rd Ne Bldg B, Atlanta, GA 30322-1013 | 2016-07-29 |
| 1568824928 | Sarah Avila | Ophthalmology | 1365 Clifton Rd Ne Bldg B, Atlanta, GA 30322-5358 | 2016-03-24 |
| 1174997647 | Kaitlin Divinnie | Nurse Practitioner | 1365 Clifton Rd Ne Bldg B, Atlanta, GA 30322-3736 | 2015-11-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700445830 | Justin Gill | Student in an Organized Health Care Education/Training Program | 1365 Clifton Rd Ne, Clinic B - Suite B6100, Atlanta, GA 30322 | 2019-06-12 |
| 1891354510 | Gwendolyn Gisiner Gunn | Genetic Counselor, MS | Emory Genetics Clinic, 1365 Clifton Road Ne, Atlanta, GA 30322 | 2019-06-06 |
| 1144710567 | Lisa Cathy-ann Akosa | Registered Nurse | 1365 Cifton Road Ne, Atlanta, GA 30322 | 2018-05-10 |
| 1083118004 | Jessica Milian Keilson | Student in an Organized Health Care Education/Training Program | 1364 Clifton Road Ne, Suite H100, Emory University Hospital Office of Surgical Education, Atlanta, GA 30322 | 2018-03-23 |
| 1568982684 | Jennifer Bilko | Dietitian, Registered | 1365 Clifton Rd., Bldg A, 1st Floor, Suite 1450, Atlanta, GA 30322 | 2017-06-20 |
| 1134652258 | Kassahun Bilcha | Student in an Organized Health Care Education/Training Program | 1525 Clifton Rd Ne Ste 100, Atlanta, GA 30322 | 2017-04-05 |
| 1356872246 | Tova Rogers | Dermatology | 1525 Clifton Road Suite 105, Atlanta, GA 30322 | 2017-03-23 |
| 1194271445 | Dina Amin | Dentist | 1365 Clifton,building B, Oral and Maxillofacial Surgery, Suite 2300, Atlanta, GA 30322 | 2016-08-28 |
| 1427404904 | Rita Kaur Kuwahara | Student in an Organized Health Care Education/Training Program | 100 Woodruff Circle, Suite 327, Atlanta, GA 30322 | 2016-05-13 |
| 1891176251 | Octav Cristea | Transplant Surgery | 1365 Clifton Road Northeast, Building B, 6th Floor, Atlanta, GA 30322 | 2015-06-11 |
| Find all providers in zip 30322 | ||||
| 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 |
|---|---|---|---|---|
| 1447850466 | Kelsea Brown | Optometrist | 2184 Henderson Mill Rd Ne Ste 12b, Atlanta, GA 30345-3762 | 2020-10-28 |
| 1770101818 | Tony Lam | Optometrist | 2549 Piedmont Rd Ne Ste 120, Atlanta, GA 30324-3023 | 2020-07-06 |
| 1124641329 | Jenna Lee Reid | Optometrist | 1544 Piedmont Ave Ne Ste 320, Atlanta, GA 30324-5018 | 2020-05-21 |
| 1891345575 | Javeya Clark | Optometrist | 3645 Habersham Rd Ne, Atlanta, GA 30305-1130 | 2019-09-16 |
| 1164084687 | Sarah A Flanagan | Optometrist | 5505 Peachtree Dunwoody Ste 300, Atlanta, GA 30342-1713 | 2019-07-04 |
| 1790346476 | 2020atlanta PC | Optometrist | 20 10th St Nw Unit 1101, Atlanta, GA 30309-3868 | 2019-06-24 |
| 1972065456 | Myeyedr Optometry of Georgia, LLC | Optometrist | 860 Peachtree St Ne Ste F, Atlanta, GA 30308-1288 | 2019-04-03 |
| 1467925172 | Muqdisa Hashmi | Optometrist | 3393 Peachtree Rd Ne Ste B128, Atlanta, GA 30326-1197 | 2019-01-04 |
| 1063994481 | Mark Edward Brachmanski | Optometrist | 800 Mount Vernon Highway Ne, Suite 130, Atlanta, GA 30328 | 2018-09-01 |
| 1225518236 | Lianne Ashley Chuck | Optometrist | 2860 Cumberland Mall Se Ste 1440, Atlanta, GA 30339-3963 | 2018-08-19 |
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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.