DR. ALLISON THEISEN DOTSON (O.D.) – Optometrist, NPI 1861568495

DR. ALLISON THEISEN DOTSON (O.D.) is a healthcare provider. based in Johns creek, Georgia. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 001576 (GA). The NPI Number for DR. ALLISON THEISEN DOTSON (O.D.) is 1861568495

Main info

Female
Sole Proprietor
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. ALLISON THEISEN DOTSON (O.D.)
NPI
1861568495
Phone
(678) 393-9445
Address
3005 OLD ALABAMA RD
Enumeration Date
27 November 2006
Last Update Date
6 April 2017

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
6783939445
Graduation Year
1996 (30 years ago)
PAC ID
0547315210
Group Practice PAC ID
4981030673
Professional Enrollment ID
I20100928000299
Address ID
GA300221904JO3005XRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

959 OPTOMETRY in GA

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Provider Addresses for DR. ALLISON THEISEN DOTSON (O.D.)

  • Santino's, 3005, Old Alabama Road, Bellingrath Commons, Newtown, Johns Creek, Fulton County, Georgia, 30022, United States

    STE 300

    JOHNS CREEK, GA 300221904

    Phone: (678) 393-9445

    Fax: (678) 298-8503

    Type: Mailing

  • Village Burger, 3005, Old Alabama Road, Bellingrath Commons, Newtown, Alpharetta, Fulton, Georgia, 30022, United States

    STE 300

    ALPHARETTA, GA 300221904

    Phone: (770) 502-1891

    Fax: (770) 502-1924

    Type: Location

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: 2010-09-28

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
I20100928000299IOptometryGATBD

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 30022)

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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: 4981030673View full group profile
NameSpecialtyState
O P T O M E T R YNV
O P T O M E T R YGA

Reviews

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Frequently asked questions

What unique ID ties claims to DR. ALLISON THEISEN DOTSON (O.D.)?
NPI 1861568495 is assigned to DR. ALLISON THEISEN DOTSON (O.D.) under the national enumeration system.
Is DR. ALLISON THEISEN DOTSON (O.D.) active in the national directory?
DR. ALLISON THEISEN DOTSON (O.D.)'s public NPI profile is in an active state.
What field does DR. ALLISON THEISEN DOTSON (O.D.) work in?
You can think of DR. ALLISON THEISEN DOTSON (O.D.) as practicing within Optometrist. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. ALLISON THEISEN DOTSON (O.D.)?
The page summarizes Johns Creek, Georgia for DR. ALLISON THEISEN DOTSON (O.D.); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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