DR. KAJENE THASAN VETHANAYAGAM (O.D.) – Optometrist, NPI 1407412471

DR. KAJENE THASAN VETHANAYAGAM (O.D.) is a healthcare provider. based in Athens, Georgia. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. OPT003162 (GA). The NPI Number for DR. KAJENE THASAN VETHANAYAGAM (O.D.) is 1407412471

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. KAJENE THASAN VETHANAYAGAM (O.D.)
NPI
1407412471
Phone
(706) 549-7757
Address
1077 BAXTER ST STE 100
Enumeration Date
15 May 2019
Last Update Date
2 February 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7065497757
Graduation Year
2018 (8 years ago)
PAC ID
3173851839
Group Practice PAC ID
0547792418
Professional Enrollment ID
I20190820002474
Address ID
GA306063767AT1077XSTXX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

959 OPTOMETRY in GA

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Provider Addresses for DR. KAJENE THASAN VETHANAYAGAM (O.D.)

  • 100, Baxter Street, Athens, Athens-Clarke County, Georgia, 30605, United States

    ATHENS, GA 306063767

    Phone: (706) 549-7757

    Fax: (706) 549-4186

    Type: Mailing

  • THOMAS EYE CENTER

    1077 BAXTER STREET, SUITE 100

    ATHENS, GA 306063767

    Phone: (706) 549-7757

    Fax: (706) 549-4186

    Type: Location

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 $165.

Total Amount is formed as General ($165) + Research ($0) + Ownership ($0) = $165.

Last reported payment date: 2024-10-02 • Largest payer in this snapshot: Glaukos Corporation ($109).

Total Amount

$165

General + Research + Ownership

Payments

4

Total payment records

General Amount

$165

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-02

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: 2019-08-20

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
I20190820002474IOptometryGATBD

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 system6867$0
99213Established patient office or other outpatient visit, 20-29 minutes3321$0
92004New patient complete exam of visual system1919$0
View full utilization report →

Insurance plans in this area (ZIP 30606)

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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: 0547792418View full group profile
NameSpecialtyState
O P T O M E T R YGA
O P T O M E T R YGA

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. KAJENE THASAN VETHANAYAGAM (O.D.)?
DR. KAJENE THASAN VETHANAYAGAM (O.D.) — NPI 1407412471 — is the standard way to identify this listing.
Is DR. KAJENE THASAN VETHANAYAGAM (O.D.) still practicing?
DR. KAJENE THASAN VETHANAYAGAM (O.D.) is currently listed as active in the public NPI registry.
What taxonomy line describes DR. KAJENE THASAN VETHANAYAGAM (O.D.)?
For research purposes, treat DR. KAJENE THASAN VETHANAYAGAM (O.D.) as Optometrist in this dataset. Clinical services aligned with this taxonomy classification.
What area does DR. KAJENE THASAN VETHANAYAGAM (O.D.) serve?
DR. KAJENE THASAN VETHANAYAGAM (O.D.)'s listing highlights Athens, Georgia; more addresses can appear in NPPES.
Why does DR. KAJENE THASAN VETHANAYAGAM (O.D.) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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