Individual provider Active NPI

Emely F Minino Soto, OD

  • Optometrist
  • Atlanta, GA
National Provider Identifier
1053293951
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT003679 Issued in GA
Practice address
5505 Peachtree Dunwoody Rd Ste 300
Atlanta, GA 30342-1718
Phone
(404) 257-0814
NPI assigned
Jul 22, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT003679 GA Primary

Addresses

Primary practice location

5505 Peachtree Dunwoody Rd Ste 300
Atlanta, GA 30342-1718

Mailing address

5505 Peachtree Dunwoody Rd Ste 300
Atlanta, GA 30342-1713
Phone (857) 919-1178

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10501 W Hampton Lakes St
Maize, KS 67101-3736

279 N Broad St
Suite C
Winder, GA 30680-2589

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT003679GAMDOptometrist

Interoperability endpoints

  • Direct secure messaging: adela.mininosoto.p41@direct.omnieyeatlanta.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1753142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1053293951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5505 PEACHTREE DUNWOODY RD STE 300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421713",
            "telephone_number": "857-919-1178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 PEACHTREE DUNWOODY RD STE 300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421718",
            "telephone_number": "404-257-0814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MININO SOTO",
        "first_name": "EMELY",
        "middle_name": "F",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-22",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.