Unknown Individual – Optometrist, NPI 1184620114
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Walther Road Northwest, Lawrenceville, Gwinnett County, Georgia, 30243, United States
BUILDING 100
LAWRENCEVILLE, GA 300458725
Phone: (770) 513-3300
Fax: (770) 513-3350
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 4 Open Payments records for all available years, with a total value of $83.
Total Amount is formed as General ($83) + Research ($0) + Ownership ($0) = $83.
Last reported payment date: 2024-04-23 • Largest payer in this snapshot: CooperVision Inc. ($83).
Total Amount
$83
General + Research + Ownership
Payments
4
Total payment records
General Amount
$83
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| CooperVision Inc. | $83 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 70 | 65 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 41 | 37 | $0 |
| 92250 | Photography of the retina | 12 | 11 | $0 |
Insurance plans in this area (ZIP 30045)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| O P T O M E T R Y | GA | |
| O P T O M E T R Y | GA |
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