NICOLE L MARDAK (O.D.) – Optometrist, NPI 1033551767

NICOLE L MARDAK (O.D.) is a healthcare provider. based in Marietta, Georgia. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. OPT002772 (GA). The NPI Number for NICOLE L MARDAK (O.D.) is 1033551767

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE L MARDAK (O.D.)
NPI
1033551767
Phone
(770) 952-6412
Address
1545 POWERS FERRY RD SE
Enumeration Date
23 July 2013
Last Update Date
23 July 2013

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
7709526412211
Graduation Year
2013 (13 years ago)
PAC ID
4789826256
Group Practice PAC ID
5890839138
Professional Enrollment ID
I20130813000285
Address ID
GA300679401MA1545XSERD401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

958 OPTOMETRY in GA

Provider Addresses for NICOLE L MARDAK (O.D.)

  • 1545 POWERS FERRY RD SE

    SUITE 240

    MARIETTA, GA 300679412

    Phone: (770) 952-6412

    Fax: (770) 953-2738

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $1,136.

Total Amount is formed as General ($1,136) + Research ($0) + Ownership ($0) = $1,136.

Last reported payment date: 2024-09-04 • Largest payer in this snapshot: ABBVIE INC. ($213).

Total Amount

$1,136

General + Research + Ownership

Payments

19

Total payment records

General Amount

$1,136

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-04

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: 2013-08-13

PECOS data refreshed: 2026-05-27

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
I20130813000285IOptometryGATBD

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 system162160$0
92012Established patient problem focused exam of visual system6962$0
92133Imaging of optic nerve2726$0
92250Photography of the retina1616$0
92134Imaging of retina1515$0
View full utilization report →

Insurance plans in this area (ZIP 30067)

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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: 5890839138View full group profile
NameSpecialtyState
O P T O M E T R YGA
O P T O M E T R YVA

Reviews

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Frequently asked questions

What number should I use to identify NICOLE L MARDAK (O.D.) for billing?
Administrative and clinical systems typically use NPI 1033551767 for NICOLE L MARDAK (O.D.).
Quick check: is NICOLE L MARDAK (O.D.) active?
Public NPPES data shows NICOLE L MARDAK (O.D.) with an active NPI status right now.
What type of care does NICOLE L MARDAK (O.D.) provide?
NICOLE L MARDAK (O.D.)'s profile centers on Optometrist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to NICOLE L MARDAK (O.D.)?
NICOLE L MARDAK (O.D.) is associated with Marietta, Georgia in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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