Active NPI
Catherina Min, O.D.
- Optometrist
- Dacula, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT003375
- Practice address
- 2240 Hamilton Creek Pkwy Ste 1100
Dacula, GA 30019-4555 - Phone
- (678) 892-2020
- Fax
- (678) 538-1950
- NPI assigned
- Jul 17, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 60376275 | WA | |
| Optometrist | 152W00000X | OPT003375 | GA | Primary |
Addresses
Primary practice location
2240 Hamilton Creek Pkwy Ste 1100
Dacula, GA 30019-4555
Mailing address
2240 Hamilton Creek Pkwy Ste 1100
Dacula, GA 30019-4555
Phone (678) 892-2020
Other practice location 1
2041 148th Ave NE
Bellevue, WA 98007-3725
Phone (425) 644-4226
Other practice location 2
17130 Avondale Way NE Ste 112
Redmond, WA 98052-4455
Phone (425) 885-6600
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of California - School of Optometry, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2240 Hamilton Creek Pkwy
Suite 1100
Dacula, GA 30019-4555
Phone (678) 892-2020
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT003375 | GA | MD | Optometrist |
| 60376275 | WA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thomas Eye Group PC | Optometrist | Current | Accepting new patients |
| Thomas Eye Group PC | Optometrist | Current | Accepting new patients |
| Thomas Eye Group PC | Current | Accepting new patients |
Locations
546 Lakeland Plz
Cumming, GA 30040
Phone (678) 208-2393
2240 Hamilton Creek Pkwy
Ste 1100
Dacula, GA 30019
Phone (404) 582-0096
11690 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 475-5515
5901 Peachtree Dunwoody Rd
Ste 500
Sandy Springs, GA 30328
Phone (678) 781-7373
Interoperability endpoints
- catherinam@teg.emadirect.md
Organizations & group practices 3
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.
-
- Optometrist
- Stone Mountain, GA
- NPI 1043032840
-
- Ophthalmology Physician
- Dacula, GA
- NPI 1255974630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650326400000",
"number": "1124469275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2240 HAMILTON CREEK PKWY STE 1100",
"city": "DACULA",
"state": "GA",
"postal_code": "300194555",
"telephone_number": "678-892-2020",
"fax_number": "678-538-1950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2240 HAMILTON CREEK PKWY STE 1100",
"city": "DACULA",
"state": "GA",
"postal_code": "300194555",
"telephone_number": "678-892-2020",
"fax_number": "678-538-1950"
}
],
"practiceLocations": [
{
"address_1": "2041 148th Ave NE",
"address_purpose": "LOCATION",
"city": "Bellevue",
"state": "WA",
"postal_code": "980073725",
"country_code": "US",
"telephone_number": "425-644-4226",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "17130 Avondale Way NE Ste 112",
"address_purpose": "LOCATION",
"city": "Redmond",
"state": "WA",
"postal_code": "980524455",
"country_code": "US",
"telephone_number": "425-885-6600",
"fax_number": "425-885-6580",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MIN",
"first_name": "CATHERINA",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-17",
"last_updated": "2022-04-19",
"certification_date": "2022-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WA",
"license": "60376275",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "OPT003375",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dacula, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; 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.