Individual provider Active NPI

Bryttani Rachelle Sylvain, O.D

  • Optometrist
  • Atlanta, GA
National Provider Identifier
1023492733
Registry record updated Aug 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT002887 Issued in GA
Practice address
2434 Gresham Rd SE Ste C
Atlanta, GA 30316-4130
Phone
(813) 850-7280
Fax
(404) 529-4262
NPI assigned
Jul 13, 2015
Last updated
Aug 12, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT002887 GA Primary

Addresses

Primary practice location

2434 Gresham Rd SE Ste C
Atlanta, GA 30316-4130

Mailing address

2434 Gresham Rd SE Ste C
Atlanta, GA 30316-4130
Phone (813) 850-7280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190116004200 GA Practitioner - Optometry 0547506206 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2434 Gresham Rd SE
Suite C
Atlanta, GA 30316-4130
Phone (404) 241-6500

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sylvain Eye Care Professional Corporation Optometrist CurrentSince Nov 1, 2018 Accepting new patients

Locations

2434 Gresham Rd SE
Ste C
Atlanta, GA 30316
Phone (404) 241-6500

404 US Highway 27 N Byp
Bremen, GA 30110
Phone (770) 537-2131

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1436745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1023492733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2434 GRESHAM RD SE STE C",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303164130",
            "telephone_number": "813-850-7280",
            "fax_number": "404-529-4262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2434 GRESHAM RD SE STE C",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303164130",
            "telephone_number": "813-850-7280",
            "fax_number": "404-529-4262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYLVAIN",
        "first_name": "BRYTTANI",
        "middle_name": "RACHELLE",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-13",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.