APRIL KONGMANICHANH (OD) – Optometrist, NPI 1598576647

APRIL KONGMANICHANH (OD) is a healthcare provider. based in Cleveland, Georgia. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OPT003655 (GA). The NPI Number for APRIL KONGMANICHANH (OD) is 1598576647

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
APRIL KONGMANICHANH (OD)
NPI
1598576647
Phone
(770) 331-8311
Address
1801 US-129
Enumeration Date
17 January 2025
Last Update Date
15 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4789872020
Graduation Year
2024 (2 years ago)
PAC ID
4082110127
Group Practice PAC ID
2466476270
Professional Enrollment ID
I20250929002646
Address ID
GA310692905PE1105XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness85
Years active:1State licenses:1Digital endpointsOther names

958 OPTOMETRY in GA

Provider Addresses for APRIL KONGMANICHANH (OD)

  • 1801 US-129

    CLEVELAND, GA 30528

    Phone: (770) 331-8311

    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: 2025-09-29

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
I20250929002646IOptometryGATBD

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 30528)

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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: 2466476270View full group profile
NameSpecialtyState
O P T O M E T R YGA
O P T O M E T R YAL
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

Does APRIL KONGMANICHANH (OD) have a public NPI I can cite?
Public records show APRIL KONGMANICHANH (OD) under NPI 1598576647.
Is APRIL KONGMANICHANH (OD)'s NPI status active today?
Active status means APRIL KONGMANICHANH (OD)'s NPI record is not deactivated in the public file.
What services align with APRIL KONGMANICHANH (OD)'s listing?
APRIL KONGMANICHANH (OD)'s public classification highlights Optometrist. Clinical services aligned with this taxonomy classification.
Is APRIL KONGMANICHANH (OD) tied to Cleveland, Georgia?
If you are local to Cleveland, Georgia, APRIL KONGMANICHANH (OD) may be relevant to your search.
Who maintains APRIL KONGMANICHANH (OD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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