DR. SAMPSON LISTOWELL ABU (OD) – Optometrist, NPI 1982433645

DR. SAMPSON LISTOWELL ABU (OD) is a healthcare provider. based in Atlanta, Georgia. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OPT003598 (GA). The NPI Number for DR. SAMPSON LISTOWELL ABU (OD) is 1982433645

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
DR. SAMPSON LISTOWELL ABU (OD)
NPI
1982433645
Phone
(914) 338-2129
Address
5505 PEACHTREE DUNWOODY RD STE 300
Enumeration Date
31 July 2024
Last Update Date
31 July 2024

Doctor Profile

Medical School Name
DREXEL UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
7065497757
Graduation Year
2024 (2 years ago)
PAC ID
5991211658
Group Practice PAC ID
0547792418
Professional Enrollment ID
I20250720000158
Address ID
GA306063767AT1077XSTXX302
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 DR. SAMPSON LISTOWELL ABU (OD)

  • 5505 PEACHTREE DUNWOODY RD STE 300

    ATLANTA, GA 303421713

    Phone: (914) 338-2129

    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 16 Open Payments records for all available years, with a total value of $569.

Total Amount is formed as General ($569) + Research ($0) + Ownership ($0) = $569.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($195).

Total Amount

$569

General + Research + Ownership

Payments

16

Total payment records

General Amount

$569

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: 2025-07-20

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
I20250720000158IOptometryGATBD

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 30342)

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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: 0547792418View full group profile
NameSpecialtyState
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

Is there an official ID for DR. SAMPSON LISTOWELL ABU (OD) in U.S. healthcare records?
The official identifier for DR. SAMPSON LISTOWELL ABU (OD) is NPI 1982433645.
Is DR. SAMPSON LISTOWELL ABU (OD) shown as active in public data?
Registry records indicate DR. SAMPSON LISTOWELL ABU (OD) maintains an active NPI.
What area of care is associated with DR. SAMPSON LISTOWELL ABU (OD)?
DR. SAMPSON LISTOWELL ABU (OD)'s record emphasizes Optometrist. Clinical services aligned with this taxonomy classification.
Where in Georgia is DR. SAMPSON LISTOWELL ABU (OD) registered?
Use Atlanta, Georgia as the headline location for DR. SAMPSON LISTOWELL ABU (OD) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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