Individual provider Active NPI

Erika Saucedo, OD

  • Optometrist
  • Atlanta, GA
National Provider Identifier
1164092276
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT003554 Issued in GA
Practice address
650 North Ave NE Ste 103
Atlanta, GA 30308-2749
Phone
(470) 837-2391
NPI assigned
Jun 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT003554 GA Primary

Addresses

Primary practice location

650 North Ave NE Ste 103
Atlanta, GA 30308-2749

Mailing address

1824 Defoor Ave NW Apt 3211
Atlanta, GA 30318-3034
Phone (678) 642-0254

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
99.48 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
98.26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT003554GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Richard L Jahnle MD PC Optometrist CurrentSince Jul 1, 2022 Accepting new patients
Domenick Braccia D.O. PastSince Jun 1, 2022 Accepting new patients

Locations

2010 W Chester Pike
Havertown, PA 19083
Phone (610) 446-2260

2010 W Chester Pike
Ste 310
Havertown, PA 19083
Phone (610) 446-2260

Interoperability endpoints

  • Direct secure messaging: esaucedo@jahnleeye.emadirect.md

Organizations & group practices 2

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": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1164092276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1824 DEFOOR AVE NW APT 3211",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303183034",
            "telephone_number": "678-642-0254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 NORTH AVE NE STE 103",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082749",
            "telephone_number": "470-837-2391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUCEDO",
        "first_name": "ERIKA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-30",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.