DR. MARY NAJJAR BRUNNER (O.D.) – Optometrist, NPI 1184779084

DR. MARY NAJJAR BRUNNER (O.D.) is a healthcare provider. based in Kennesaw, Georgia. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 1170T (GA). The NPI Number for DR. MARY NAJJAR BRUNNER (O.D.) is 1184779084

Main info

Female
39 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARY NAJJAR BRUNNER (O.D.)
NPI
1184779084
Phone
(770) 428-8098
Address
2700 TOWN CENTER DR NW
Enumeration Date
24 January 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UNIVERSITY ALABAMA BIRMINGHAM - SCHOOL OF OPTOMETRY
Secondary Phone
7704288090
Graduation Year
1987 (39 years ago)
PAC ID
3678591377
Group Practice PAC ID
2567455868
Professional Enrollment ID
I20110418000669
Address ID
GA301443047KE600XXNWXX401
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

958 OPTOMETRY in GA

Provider Addresses for DR. MARY NAJJAR BRUNNER (O.D.)

  • 2700 TOWN CENTER DR NW

    H-2

    KENNESAW, GA 301446800

    Phone: (770) 428-8098

    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 14 Open Payments records for all available years, with a total value of $419.

Total Amount is formed as General ($419) + Research ($0) + Ownership ($0) = $419.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Alcon Vision LLC ($230).

Total Amount

$419

General + Research + Ownership

Payments

14

Total payment records

General Amount

$419

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2011-04-18

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
I20110418000669IOptometryGATBD

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
99212Established patient office or other outpatient visit, 10-19 minutes1818$0
99213Established patient office or other outpatient visit, 20-29 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 30144)

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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: 2567455868View full group profile
NameSpecialtyState
O P T O M E T R YGA
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 YGA
O P T O M E T R YMI
O P T O M E T R YGA
O P T O M E T R YGA
O P H T H A L M O L O G YFL
O P T O M E T R YGA
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 YGA

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. MARY NAJJAR BRUNNER (O.D.)?
DR. MARY NAJJAR BRUNNER (O.D.) — NPI 1184779084 — is the standard way to identify this listing.
Is DR. MARY NAJJAR BRUNNER (O.D.) still practicing?
DR. MARY NAJJAR BRUNNER (O.D.) is currently listed as active in the public NPI registry.
What taxonomy line describes DR. MARY NAJJAR BRUNNER (O.D.)?
For research purposes, treat DR. MARY NAJJAR BRUNNER (O.D.) as Optometrist in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for DR. MARY NAJJAR BRUNNER (O.D.)?
DR. MARY NAJJAR BRUNNER (O.D.)'s geographic hint is Kennesaw, Georgia in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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