SIDNEY A GOTTLIEB (O.D.) – Optometrist, NPI 1588789762

SIDNEY A GOTTLIEB (O.D.) is a healthcare provider. based in Alpharetta, Georgia. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. OPT001095 (GA). The NPI Number for SIDNEY A GOTTLIEB (O.D.) is 1588789762

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
SIDNEY A GOTTLIEB (O.D.)
NPI
1588789762
Phone
(770) 993-1098
Address
210 GATSBY PL
Enumeration Date
20 March 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UNIVERSITY ALABAMA BIRMINGHAM - SCHOOL OF OPTOMETRY
Secondary Phone
7704191393
Graduation Year
1985 (41 years ago)
PAC ID
5294706453
Group Practice PAC ID
0941297337
Professional Enrollment ID
I20040803000795
Address ID
GA300608911MA653XXNEXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

964 OPTOMETRY in GA

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Provider Addresses for SIDNEY A GOTTLIEB (O.D.)

  • 210, Gatsby Place, Alpharetta, Fulton County, Georgia, 30022, United States

    ALPHARETTA, GA 300226160

    Phone: (770) 993-1098

    Fax: (678) 445-3803

    Type: Mailing

  • Walmart Supercenter, 12182, Highway 92, Rocky Springs, Woodstock, Cherokee County, Georgia, 30188, United States

    WOODSTOCK, GA 301884481

    Phone: (770) 591-9838

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 22 Open Payments records for all available years, with a total value of $555.

Total Amount is formed as General ($555) + Research ($0) + Ownership ($0) = $555.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: ABBVIE INC. ($203).

Total Amount

$555

General + Research + Ownership

Payments

22

Total payment records

General Amount

$555

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-08-03

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040803000795IOptometryGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system5252$0
92012Established patient problem focused exam of visual system3937$0
99214Established patient office or other outpatient visit, 30-39 minutes3030$0
View full utilization report →

Insurance plans in this area (ZIP 30022)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0941297337View full group profile
NameSpecialtyState
-GA
-GA
O P H T H A L M O L O G YGA
O P H T H A L M O L O G YCA
O P H T H A L M O L O G YGA

Reviews

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Frequently asked questions

Is SIDNEY A GOTTLIEB (O.D.) listed with a National Provider Identifier?
Yes — SIDNEY A GOTTLIEB (O.D.) has NPI 1588789762 on file in the registry.
Is SIDNEY A GOTTLIEB (O.D.) still an active registrant?
SIDNEY A GOTTLIEB (O.D.) carries an active NPI according to the public dataset.
What kind of doctor is SIDNEY A GOTTLIEB (O.D.)?
SIDNEY A GOTTLIEB (O.D.) is associated with Optometrist in the directory — Clinical services aligned with this taxonomy classification.
Is SIDNEY A GOTTLIEB (O.D.) associated with Alpharetta?
Public fields place SIDNEY A GOTTLIEB (O.D.) around Alpharetta, Georgia. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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