Anchita S Dalal, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2826 Issued in GA

Practice address

113 Lincoln St
Woodstock, GA 30188-7800

Phone

(770) 694-7208

NPI assigned

Jul 29, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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

Illinois College of Optometry at Chicago, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Woodstock Eye Associates LLCGroup PAC ID 7618351487, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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.

• Woodstock Eye Associates LLC

  • Optometrist
  • Woodstock, GA
  • NPI 1740890284
  Medicare reassignment Care Compare group NPD Authorized official
• Mark Lynn OD & Associates, PC

  • Optometrist
  • Lithonia, GA
  • NPI 1417055203
  Medicare reassignment NPD
• Mark Lynn O.D. & Associates, PC

  • Eyewear Supplier
  • Savannah, GA
  • NPI 1518375500
  NPD
• Singla Eye Care PC

  • Optometrist
  • Woodstock, GA
  • NPI 1376279620
  NPD (past)

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

{
    "created_epoch": "1375056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609372800000",
    "number": "1114369444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1058 PIEDMONT AVE NE APT 403",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303093749",
            "telephone_number": "404-271-0051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 LINCOLN ST",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301887800",
            "telephone_number": "770-694-7208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALAL",
        "first_name": "ANCHITA",
        "middle_name": "S",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-29",
        "last_updated": "2020-12-31",
        "certification_date": "2020-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1938",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "2826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Czerwinski Health and Wellness LLC
• Jacek Czerwinski, DC
• D Thad Baird D M D P C
• Shelly-Ann Monique D'Cunha
• Osborne D'Souza, MD
• Neville Kersi Dalal, O.D.
• Montakia Princess Dance, LAPC
• Andrew Scott Daniel, PMHNP
• Alexis Daniels
• Katherine Garretson Darnell

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2020; 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.