Individual provider Active NPI

Brenda Weirich Szirovecz, O.D.

  • Optometrist
  • Alpharetta, GA
National Provider Identifier
1124146360
Registry record updated Oct 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
GA1356 Issued in GA
Practice address
1154 Northpoint Cir
Alpharetta, GA 30022-4854
Phone
(770) 667-8060
Fax
(770) 667-2024
NPI assigned
Mar 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X GA1356 GA Primary

Addresses

Primary practice location

1154 Northpoint Cir
Alpharetta, GA 30022-4854

Mailing address

2435 Hamptons Psge
Alpharetta, GA 30005-7411
Phone (404) 663-3723

Other identifiers 1

IdentifierTypeStateIssuer
52530089001OtherGABLUE CROSS BLUE SHIELD

Other names 1

  • Dr. Brenda Weirich Professional name

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
I20190302000147 GA Practitioner - Optometry 4183963556 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optima Eye Care LLCGroup PAC ID 6103215801, 3 clinicians

Practice addresses (Care Compare)

6365 Halcyon Way
Suite 935
Alpharetta, GA 30005-2317
Phone (404) 662-4123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
GA1356GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Optima Eye Care LLC Optometrist CurrentSince Oct 23, 2019 Accepting new patients

Locations

6365 Halcyon Way
Ste 935
Alpharetta, GA 30005
Phone (404) 662-4123

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1124146360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2435 HAMPTONS PSGE",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300057411",
            "telephone_number": "404-663-3723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1154 NORTHPOINT CIR",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300224854",
            "telephone_number": "770-667-8060",
            "fax_number": "770-667-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZIROVECZ",
        "first_name": "BRENDA",
        "middle_name": "WEIRICH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "GA1356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "52530089001",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENDA",
            "last_name": "WEIRICH",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Alpharetta, GA

Sources for this page

Verify at the official NPI Registry.