DR. LINH T TA (O.D.) – Optometrist, NPI 1962495150

DR. LINH T TA (O.D.) is a healthcare provider. based in Dahlonega, Georgia. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. OPT001539 (GA). The NPI Number for DR. LINH T TA (O.D.) is 1962495150

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. LINH T TA (O.D.)
NPI
1962495150
Phone
(706) 867-9335
Address
270 WALMART WAY
Enumeration Date
24 August 2005
Last Update Date
10 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7706776043
Graduation Year
1995 (31 years ago)
PAC ID
0244131217
Group Practice PAC ID
6204829013
Professional Enrollment ID
I20040116000473
Address ID
GA303283473AT20XXXPKWY300

Contacts

SOAP Endpoint
https://careepiceast.kp.org:14430/Interconnect-prodgam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

958 OPTOMETRY in GA

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Provider Addresses for DR. LINH T TA (O.D.)

  • Walmart Supercenter, 270, Walmart Way, Dahlonega, Lumpkin County, Georgia, 30533, United States

    DAHLONEGA, GA 305330824

    Phone: (706) 867-9335

    Fax: (706) 867-8679

    Type: Location

  • 6795 BRAGG RD

    CUMMING, GA 300414701

    Phone: (678) 481-8132

    Fax: (770) 292-9301

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 26 Open Payments records for all available years, with a total value of $1,913.

Total Amount is formed as General ($1,913) + Research ($0) + Ownership ($0) = $1,913.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Glaukos Corporation ($900).

Total Amount

$1,913

General + Research + Ownership

Payments

26

Total payment records

General Amount

$1,913

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

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: 2004-01-16

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
I20040116000473IOptometryGATBD

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 system1211$0
View full utilization report →

Insurance plans in this area (ZIP 30533)

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Provider's Procedures

DR. LINH T TA (O.D.) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYGA92012Eye and medical examination for diagnosis and treatment, established patient3529

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: 6204829013View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. LINH T TA (O.D.)?
DR. LINH T TA (O.D.) — NPI 1962495150 — is the standard way to identify this listing.
Does the file indicate DR. LINH T TA (O.D.) is practicing under active NPI?
Directory data currently reports DR. LINH T TA (O.D.) as active.
What is DR. LINH T TA (O.D.)'s specialty?
The listing groups DR. LINH T TA (O.D.) with Optometrist. Clinical services aligned with this taxonomy classification.
What area does DR. LINH T TA (O.D.) serve?
DR. LINH T TA (O.D.)'s listing highlights Dahlonega, Georgia; more addresses can appear in NPPES.
Why does DR. LINH T TA (O.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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