BORIS SEVERINSKY (NPI# 1942754759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942754759 |
| Entity Type | Individual |
| Full Name | BORIS SEVERINSKY |
| Credential | OD |
| Practice Address |
1365 Clifton Rd Ne Bldg B Atlanta GA 30322-1013 |
| Practice Telephone | 4047782020 |
| Mailing Telephone | 4047782020 |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2018-02-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | OPC5225 | FL | Eye and Vision Services Providers |
| Y | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
OPT003068 | GA | Eye and Vision Services Providers |
| 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 |
| 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 |
| 1023492741 | Kelsey Moody Mileski | Optometrist | 1365 Clifton Rd Ne Bldg B, Atlanta, GA 30322-1013 | 2015-07-13 |
| 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 | 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 |
|---|---|---|---|---|
| 1679878524 | Optique At Brookhaven, LLC | Optometrist | 305 Brookhaven Ave, Sw 1110, Atlanta, GA 30319-4316 | 2011-01-24 |
| 1225161185 | Robert Joseph Barnes | Optometrist | 650 Ponce De Leon Ave Ne, Suite 630a, Atlanta, GA 30308-1804 | 2007-03-13 |
| 1538113600 | Gilbert Donald Spindel Jr. | Optometrist | 4505 Ashford Dunwoody Road, Suite 15, Atlanta, GA 30346-1516 | 2006-05-21 |
| 1578553616 | Debra Marie Stone | Optometrist | 800 Mt Vernon Hwy, Suite 125, Atlanta, GA 30328-4295 | 2005-10-27 |
| 1902190739 | Buckhead Vision Inc | Optometrist | 2900 Peachtree Rd Nw, Suite 301, Atlanta, GA 30305-4915 | 2011-06-09 |
| 1508900549 | Rohit Sharma | Optometrist | 3071 Campbellton Rd Sw, Suite #1, Atlanta, GA 30311-5441 | 2007-02-15 |
| 1265523831 | Kenneth Allen Jones | Optometrist | 6350 Peachtree Dunwoody Rd, Atlanta, GA 30328 | 2006-09-27 |
| 1558468744 | Vision Correction Group | Optometrist | 301 Perimeter Ctr N, Suite 600, Atlanta, GA 30346-2405 | 2006-09-20 |
| 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 |
| 1306146154 | Thanh Dau | Optometrist | 1250 Scenic Highway, Ste 1268, Lawrenceville, GA 30045 | 2010-10-27 |
| 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 |
| 1326174400 | John Christy Snyder | Optometrist | 135 N Broad St, Winder, GA 30680-2110 | 2007-02-26 |
| 1619010832 | Maria Bencsath | Optometrist | 360 W Church St, Jasper, GA 30143-1400 | 2007-02-15 |
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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.