Look up the most recent NPI and PECOS records

Maida Imtiaz Ahmad

Optometrist

Eye and Vision Services Providers

201 Kimberly Way Ste 200, Canton, GA 30114-8010

(678) 381-2020

PECOS Enrollment

This provider is enrolled in PECOS as MAIDA AHMAD.

Based on the most recent information from CMS, provider Maida Imtiaz Ahmad is legally eligible to order and refer claims for Part B, HHA and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 11 days ago.

Profile Details

Provider ID
1851962724
Provider Type
Individual
Full Name
Ahmad, Maida Imtiaz
Credential
OD

Gender
Female
Sole Proprietor
No
Enumeration Date
7/1/2021
Last Updated
6/15/2022

Contact Information

Practice Location

201 Kimberly Way Ste 200, Canton, GA 30114-8010

(678) 381-2020

(678) 381-2015

Mailing Location

1300 Peachtree Industrial Blvd Ste 1201, Suwanee, GA 30024-4550

(678) 381-2020

(678) 381-2015

Provider Taxonomies

Code	Description	License
Code 152W00000X Primary	Description Optometrist Eye and Vision Services Providers	License OPT003333 Georgia

Provider Identifiers

ID	Description	Issuer
ID OPT003333	Description Other	Issuer PROFESSIONAL LICENSE Georgia

Maida Imtiaz Ahmad

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Helmy, Marc Sacha

Family First Vision Care Georgia Pllc

Campos Munoz, Valeria Isabel

Patel, Vishal Sanjay

American Optical Services Llc

Myeyedr Optometry Of Georgia, Llc

Kurth, Amy Leighann

Happy Eyes Llc

Precision Eyecare Llc

Suresight And Associates L L C