KRISTIE J BENNETT (NPI# 1427008705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427008705 |
| Entity Type | Individual |
| Full Name | KRISTIE J BENNETT |
| Other Name | KRISTIE J KUDLAC |
| Credential | OD |
| Practice Address |
1056 N Highland Ave Ne Atlanta GA 30306-3551 |
| Practice Telephone | 4043430887 |
| Practice Fax Number | 4043432024 |
| Mailing Telephone | 4043430887 |
| Mailing Fax Number | 4043432024 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2016-05-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPT002410 | GA | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | 4510 | MA | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669987863 | Kristie Diane Bennett | Case Manager/Care Coordinator | 229 E Pine St, Riverton, WY 82501-2846 | 2017-12-10 |
| 1518588854 | Kristie Bennett | Speech-Language Pathologist | 1701 Boulevard Sq Ste F, Waycross, GA 31501-8022 | 2020-04-28 |
| 1033174917 | Kristie M Bennett | Physical Therapist | 3434 47th St, Ste 107, Boulder, CO 80301-1880 | 2006-04-20 |
| Street Address |
1056 N HIGHLAND AVE NE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30306-3551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285959346 | Highland Eye Boutique, LLC | Optometrist | 1056 N Highland Ave Ne, Atlanta, GA 30306-3551 | 2010-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750900858 | Jill Driver | Chiropractor | 1390 Lanier Blvd Ne, 1409-a, Atlanta, GA 30306 | 2020-04-09 |
| 1447737697 | Heather Nicole Vansau | Speech-Language Pathologist | 1272 Stillwood Dr Ne, Atlanta, GA 30306 | 2018-07-20 |
| 1871095919 | Michelle Ruth Orovitz | Nurse Practitioner | 1140 Briarcliff Rd Ne Apt 1, Atlanta, GA 30306 | 2018-03-05 |
| 1497261960 | Rockwell Oral and Facial Surgery LLC | Dentist | 675 N. Highland Ave Ne, Suite 100, Atlanta, GA 30306 | 2017-12-20 |
| 1518414101 | David Alan Sturgess Jr. | Counselor | 696 Courtenay Dr, Ne, Atlanta, GA 30306 | 2016-09-01 |
| 1952778565 | Kristen Jugs | Speech-Language Pathologist | 609 Virginia Ave Ne Apt 4108, None, Atlanta, GA 30306 | 2015-08-31 |
| 1962749655 | Robert B Tersak | Pharmacist | 1001 Ponce De Leon Avenue Ne, Atlanta, GA 30306 | 2013-01-15 |
| 1730434812 | Poonam Bhakta Hurley | Physical Therapist | 842 N Highland Ave Ne Ste Ter, Atlanta, GA 30306 | 2012-07-16 |
| 1609158963 | Centers for Disease Control and Prevention, Us Public Health Service | Public Health or Welfare | 1600 Clifton Rd, Ms E46, Atlanta, GA 30306 | 2011-09-13 |
| 1598045965 | April Kooy | Physician Assistant | 1000 Briarcliff Road Ne, Atlanta, GA 30306 | 2011-08-17 |
| Find all providers in zip 30306 | ||||
| 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 |
| Find all providers in ATLANTA | ||||
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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.