Athens Eye Doctors and Surgeons, LLC – Optometrist, NPI 1972205136

Athens Eye Doctors and Surgeons, LLC is a healthcare provider. based in Athens, Georgia. specializing in Optometrist. The NPI Number for Athens Eye Doctors and Surgeons, LLC is 1972205136

Main info

Organization
Name
Athens Eye Doctors and Surgeons, LLC
NPI
1972205136
Phone
(706) 549-9993
Address
105 TRINITY PL
Authorized Official
MR. JOHN HENRY BO DALTON ADMINISTRATOR
Enumeration Date
21 March 2023
Last Update Date
21 March 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness80
Years active:3State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Athens Eye Doctors and Surgeons, LLC

  • 105 TRINITY PL

    ATHENS, GA 306072112

    Phone: (706) 549-9993

    Fax: (706) 549-4047

    Type: Mailing

  • 17 S THOMAS ST

    ELBERTON, GA 306352453

    Phone: (706) 549-9993

    Fax: (706) 549-4047

    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: 2023-07-18

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
O20230718001717OClinic/Group PracticeGATBD

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 30607)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Athens Eye Doctors and Surgeons, LLC?
Athens Eye Doctors and Surgeons, LLC — NPI 1972205136 — is the standard way to identify this listing.
Does the file indicate Athens Eye Doctors and Surgeons, LLC is practicing under active NPI?
Directory data currently reports Athens Eye Doctors and Surgeons, LLC as active.
What healthcare role does Athens Eye Doctors and Surgeons, LLC hold?
Scheduling teams often label Athens Eye Doctors and Surgeons, LLC under Optometrist. Clinical services aligned with this taxonomy classification.
What address line appears for Athens Eye Doctors and Surgeons, LLC?
Athens Eye Doctors and Surgeons, LLC's geographic hint is Athens, Georgia in our summary view.
Is the information about Athens Eye Doctors and Surgeons, LLC up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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