Jessica Quynh Dinh

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT003600 Issued in GA

Practice address

895 Canton Rd NE BLDG 100
Marietta, GA 30060-8935

Phone

(770) 427-8111

Fax

(770) 427-6913

NPI assigned

Mar 23, 2023

Last updated

Sep 15, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Pacific University - College of Optometry, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Marietta Eye Clinic, PAGroup PAC ID 0143210427, 39 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Marietta Eye Clinic PA

  dba Marietta Eye Clinic Johns Creek

  • Ophthalmology Physician
  • Suwanee, GA
  • NPI 1700675568
  Medicare reassignment Care Compare group NPD
• Marietta Eye Clinic PA

  dba Marietta Eye Surgery at Johns Creek

  • Ophthalmologic Surgery Clinic/Center
  • Suwanee, GA
  • NPI 1225836869
  NPD
• Marietta Eye Clinic, PA

  • Ophthalmology Physician
  • Marietta, GA
  • NPI 1447469507

  Optometrist

  NPD

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

{
    "created_epoch": "1679529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1093418584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 DUNWOODY CHACE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303286008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 CANTON RD NE BLDG 100",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300608935",
            "telephone_number": "770-427-8111",
            "fax_number": "770-427-6913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINH",
        "first_name": "JESSICA",
        "middle_name": "QUYNH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-23",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Rittenberg Diluzio, PA-C
• Angela Tison Dimare, PA-C
• Erin Yost Dimock, CRNA
• Lakshman Kumar Dinavahi, MD
• Janie Dinh, FNP
• Etalemahu Dinku, M.D.
• Joel Louis Dinoff, D.C.
• Diana Dinser, D.C.
• Dirty Boots LLC
• Dale Wesley Disbro Jr., DC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; 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.