KATHERINE EVERETT (OD) – Optometrist, NPI 1720809304

KATHERINE EVERETT (OD) is a healthcare provider. based in Dallas, Georgia. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OPT003623 (GA). The NPI Number for KATHERINE EVERETT (OD) is 1720809304

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
KATHERINE EVERETT (OD)
NPI
1720809304
Phone
Not provided
Address
1498 MERCHANTS DR
Enumeration Date
17 October 2024
Last Update Date
17 October 2024

Doctor Profile

Medical School Name
UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY
Secondary Phone
7704452715
Graduation Year
2024 (2 years ago)
PAC ID
6608302070
Group Practice PAC ID
8224927702
Professional Enrollment ID
I20241209002193
Address ID
GA301325064DA1498XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

958 OPTOMETRY in GA

Provider Addresses for KATHERINE EVERETT (OD)

  • 1498 MERCHANTS DR

    DALLAS, GA 301325064

    Phone:

    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 2 Open Payments records for all available years, with a total value of $29.

Total Amount is formed as General ($29) + Research ($0) + Ownership ($0) = $29.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: CooperVision Inc. ($16).

Total Amount

$29

General + Research + Ownership

Payments

2

Total payment records

General Amount

$29

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2024-12-09

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
I20241209002193IOptometryGATBD

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 30132)

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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: 8224927702View full group profile
NameSpecialtyState
O P T O M E T R YGA
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 YGA
O P T O M E T R YGA
O P T O M E T R YGA
O P T O M E T R YGA
-GA
O P T O M E T R YGA

Reviews

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Frequently asked questions

Where can patients find KATHERINE EVERETT (OD)'s NPI?
You can confirm KATHERINE EVERETT (OD) with NPI 1720809304; it appears in the national provider directory.
Is KATHERINE EVERETT (OD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does KATHERINE EVERETT (OD) list a primary specialty?
If you are matching referrals, note Optometrist for KATHERINE EVERETT (OD). Clinical services aligned with this taxonomy classification.
What location metadata exists for KATHERINE EVERETT (OD)?
The page summarizes Dallas, Georgia for KATHERINE EVERETT (OD); expand the address list for detail.
How can I contact KATHERINE EVERETT (OD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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