Charles J Patorgis, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

000961 Issued in GA

Practice address

3225 Cumberland Blvd SE
Suite 900
Atlanta, GA 30339-6407

Phone

(404) 351-2220

Fax

(404) 355-5624

NPI assigned

Apr 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

New England College of Optometry, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Consultants of Atlanta, PCGroup PAC ID 8426031733, 30 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Eye Consultants of Atlanta, PC

  • Ophthalmology Physician
  • Atlanta, GA
  • NPI 1770679094
  Medicare reassignment Care Compare group NPD
• Eca Optical, LLC

  • Eyewear Supplier
  • Marietta, GA
  • NPI 1306061114
  NPD
• Eye Consultants of Atlanta Piedmont

  • Ophthalmologic Surgery Clinic/Center
  • Atlanta, GA
  • NPI 1003993965
  NPD (past)

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236816000000",
    "number": "1063476729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 CUMBERLAND BLVD SE",
            "address_2": "SUITE 900",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303396407",
            "telephone_number": "404-351-2220",
            "fax_number": "404-355-5624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 CUMBERLAND BLVD SE",
            "address_2": "SUITE 900",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303396407",
            "telephone_number": "404-351-2220",
            "fax_number": "404-355-5624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATORGIS",
        "first_name": "CHARLES",
        "middle_name": "J",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-12",
        "last_updated": "2009-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "000961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000521111A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tushar Patil, MBBS, MD
• Andres Mauricio Patino, M.D.
• Jose Manuel Patino, MD
• Srikrishna Vidyadhar Patnana, MD
• Christina Courtney Paton, REGISTERED NURSE
• Patricia D. Pillow
• Patrick Greco DC Inc
• Ashley Lauren Patrick, PA-C
• Joy Patrick
• Laura Ellen Patrick, M.D.

• Optometrist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.