P Praxis·MD
● Active Type 1 · Individual

DR. Nadira Soad Shadeed, O.D., F.C.O.V.D.

Optometrist·Dacula, GA· NPI 1952411969 · Enumerated 2006 · 19 years on NPI
Shadeed is 1 of 2 optometrist providers in Dacula and 1 of 18 in Georgia.
NPI age
19 years
Enumerated 2006-08-30
Primary specialty
Optometrist
Plus 3 subspecialties
Licensed in
GA, SC
2 states
Status
Active
No deactivations on record
Last NPPES update
2022-10-07
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 18 active optometrist providers in Georgia.

NPI age
19 years
≈ at median (19 yr)
State licenses
2 states
Top 88% — 11% of peers are multi-state
Subspecialties
1
In the 16% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-08Enumerated in NPPES
2006 2026

Where they practice

Practice location
2055 Hamilton Creek Pkwy Ste 120
Dacula, GA 300197205
📞 7709040979
Mailing address
3518 Habersham Club Dr
Cumming, GA 300418003
📞 6784482696

Additional practice locations

1 secondary location on file with NPPES.

Location 2
2920 Ronald Reagan Blvd Ste 104
Cumming, GA 300417578
📞 7709040979

Specialties

  • Optometrist Primary
    Optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific...
    GA license #2355SC license #1440 taxonomy 152WV0400X
  • 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...
    GA license #2355SC license #1440 taxonomy 152W00000X

Identifiers

TypeValueNotes
05 (SC) D14401
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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