Arbor Place Eye Care - Medicare Optometrist in Douglasville, GA

Arbor Place Eye Care is a medicare enrolled "Optometrist" provider in Douglasville, Georgia. Their current practice location is 1270 Arbor Place Mall, Douglasville, Georgia. You can reach out to their office (for appointments etc.) via phone at (770) 942-9827.

Arbor Place Eye Care is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Arbor Place Eye Care is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1023517471.

Contact Information

Arbor Place Eye Care
1270 Arbor Place Mall,
Douglasville, GA 30135-7105
(770) 942-9827
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameArbor Place Eye Care
TypeFacility
SpecialityOptometrist
Location1270 Arbor Place Mall, Douglasville, Georgia
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1023517471
  • Provider Enumeration Date: 02/12/2018
  • Last Update Date: 04/30/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 0345594362
  • Enrollment ID: O20181109002728

Medical Identifiers

Medical identifiers for Arbor Place Eye Care such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023517471NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist (* (Not Available))Primary
152WC0802XOptometrist - Corneal And Contact Management (* (Not Available))Secondary
152WP0200XOptometrist - Pediatrics (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Arbor Place Eye Care acts as a billing entity for following providers:
Provider NameAlisa K Nicholson
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1790186211
PECOS PAC ID: 1557671104
Enrollment ID: I20161018001065
Provider NameTommy Cung
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1346812799
PECOS PAC ID: 8123404472
Enrollment ID: I20221010003014
Provider NameMario Martinez
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1508531237
PECOS PAC ID: 8022468461
Enrollment ID: I20231227000842
Provider NameUyenthu Vo
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1609484773
PECOS PAC ID: 1254782345
Enrollment ID: I20240112003685
Provider NameDushika Ravendrarajah
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1588265177
PECOS PAC ID: 3971956582
Enrollment ID: I20240131000958

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Arbor Place Eye Care is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Arbor Place Eye Care
165 Olivia Run,
Atlanta, GA 30349-7614

Ph: (770) 942-9827
Arbor Place Eye Care
1270 Arbor Place Mall,
Douglasville, GA 30135-7105

Ph: (770) 942-9827

Reviews and Comments


Optometrist in Douglasville, GA

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Phone: 770-577-5268    Fax: 770-577-2528
Christina Salehzadeh Llc
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Practice Location: 3417 Highway 5 Ste B, Douglasville, GA 30135
Phone: 770-949-2020    
Mr. Edward Herman Pottlitzer, OD
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Medicare: Not Enrolled in Medicare
Practice Location: 2911 Chapel Hill Rd, Suite 210, Douglasville, GA 30135
Phone: 770-949-4223    Fax: 770-949-4994

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.