DR. GEORGE DAVID SHIDA (O.D.) – Optometrist, NPI 1508834516

DR. GEORGE DAVID SHIDA (O.D.) is a healthcare provider. based in Sandy springs, Georgia. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. OPT 000917 (GA). The NPI Number for DR. GEORGE DAVID SHIDA (O.D.) is 1508834516

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
DR. GEORGE DAVID SHIDA (O.D.)
NPI
1508834516
Phone
(404) 252-1702
Address
901 ABERNATHY RD
Enumeration Date
8 March 2006
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Secondary Phone
4042521702
Graduation Year
1980 (46 years ago)
PAC ID
3173577095
Group Practice PAC ID
8729074380
Professional Enrollment ID
I20050304000053
Address ID
GA303282561SA901XXRDXX301
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

959 OPTOMETRY in GA

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Provider Addresses for DR. GEORGE DAVID SHIDA (O.D.)

  • 901, Abernathy Road Northeast, Sandy Springs, Fulton County, Georgia, 30328, United States

    SUITE 100

    SANDY SPRINGS, GA 303282562

    Phone: (404) 252-1702

    Fax: (404) 303-8843

    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 53 Open Payments records for all available years, with a total value of $3,665.

Total Amount is formed as General ($3,665) + Research ($0) + Ownership ($0) = $3,665.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($692).

Total Amount

$3,665

General + Research + Ownership

Payments

53

Total payment records

General Amount

$3,665

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

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: 2005-03-04

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
I20050304000053IOptometryGATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes142110$0
92250Photography of the retina8376$0
View full utilization report →

Insurance plans in this area (ZIP 30328)

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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: 8729074380View full group profile
NameSpecialtyState
O P T O M E T R YGA
-GA
O P T O M E T R YGA
O P T O M E T R YMI

Reviews

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Frequently asked questions

How do I look up DR. GEORGE DAVID SHIDA (O.D.) by NPI?
Use NPI 1508834516 when you need to reference DR. GEORGE DAVID SHIDA (O.D.) in forms, claims, or directories.
Is DR. GEORGE DAVID SHIDA (O.D.) active in the national directory?
DR. GEORGE DAVID SHIDA (O.D.)'s public NPI profile is in an active state.
What field does DR. GEORGE DAVID SHIDA (O.D.) work in?
You can think of DR. GEORGE DAVID SHIDA (O.D.) as practicing within Optometrist. Clinical services aligned with this taxonomy classification.
What location shows for DR. GEORGE DAVID SHIDA (O.D.)?
We surface Sandy Springs, Georgia for DR. GEORGE DAVID SHIDA (O.D.) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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