VINCENT MICHAEL MAGLIOCCO (O.D.) – Optometrist, NPI 1194771766

VINCENT MICHAEL MAGLIOCCO (O.D.) is a healthcare provider. based in Woodstock, Georgia. specializing in Optometrist. They hold the professional credentials O.D.. They hold a License No. GA2071 (GA). The NPI Number for VINCENT MICHAEL MAGLIOCCO (O.D.) is 1194771766

Main info

Male
Sole Proprietor
55 Years Of Experience
Accepts Medicare Assignment
Name
VINCENT MICHAEL MAGLIOCCO (O.D.)
NPI
1194771766
Phone
(770) 591-3511
Address
2230 TOWNE LAKE PKWY
Enumeration Date
25 May 2006
Last Update Date
16 January 2013

Doctor Profile

Medical School Name
PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
-
Graduation Year
1971 (55 years ago)
PAC ID
9335189000
Professional Enrollment ID
I20050512000221
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for VINCENT MICHAEL MAGLIOCCO (O.D.)

  • Towne Lake Parkway, Dobbs Estates, Woodstock, Cherokee County, Georgia, 30188-3915, United States

    BUILDING 700 SUITE 100

    WOODSTOCK, GA 301895540

    Phone: (770) 591-3511

    Fax: (770) 591-3752

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2005-05-12

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
I20050512000221IOptometryGATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30189)

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Reviews

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Frequently asked questions

Is VINCENT MICHAEL MAGLIOCCO (O.D.) listed with a National Provider Identifier?
Yes — VINCENT MICHAEL MAGLIOCCO (O.D.) has NPI 1194771766 on file in the registry.
Is VINCENT MICHAEL MAGLIOCCO (O.D.) shown as active in public data?
Registry records indicate VINCENT MICHAEL MAGLIOCCO (O.D.) maintains an active NPI.
What kind of doctor is VINCENT MICHAEL MAGLIOCCO (O.D.)?
VINCENT MICHAEL MAGLIOCCO (O.D.) is associated with Optometrist in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with VINCENT MICHAEL MAGLIOCCO (O.D.)?
Directory geography for VINCENT MICHAEL MAGLIOCCO (O.D.) centers on Woodstock, Georgia.
When was this NPI issued?
Enumeration for VINCENT MICHAEL MAGLIOCCO (O.D.) is noted as May 25, 2006 where the registry provides it.

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