Individual provider Active NPI

Douglas A. Anania, O.D.

  • Optometrist
  • Woodstock, GA
National Provider Identifier
1194885848
Registry record updated Jan 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT002416 Issued in GA
Practice address
12924 Highway 92 Ste 100
Woodstock, GA 30188-5193
Phone
(678) 717-9121
Fax
(770) 926-2287
NPI assigned
Dec 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TA1885 MD
Optometrist 152W00000X OPT002416 GA Primary

Addresses

Primary practice location

12924 Highway 92 Ste 100
Woodstock, GA 30188-5193

Mailing address

12924 Highway 92 Ste 100
Woodstock, GA 30188-5193
Phone (678) 717-9121

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
I20080324000029 GA Practitioner - Optometry 1658337167 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
20-20 Optical Center LLCGroup PAC ID 3870095755, 4 clinicians

Practice addresses (Care Compare)

1112 Russell Pkwy
Suite C
Warner Robins, GA 31088-1819
Phone (478) 328-0900

3575 Durden Dr NE
Suite 303
Brookhaven, GA 30319-2255
Phone (770) 797-5951

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT002416GAMDOptometrist
TA1885MDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Brookleigh Family Eyecare, Inc Optometrist CurrentSince Sep 13, 2016 Accepting new patients
Navid Reza Khoshooee OD LLC Optometrist CurrentSince Jul 1, 2024 Accepting new patients
20-20 Optical Center LLC Optometrist CurrentSince Jul 15, 2025 Accepting new patients
Parkway Family Eye Clinic Inc Optometrist PastSince Aug 1, 2019 Accepting new patients

Locations

3575 Durden Dr NE
Ste 303
Brookhaven, GA 30319
Phone (770) 515-9393

1112 Russell Pkwy
Warner Robins, GA 31088
Phone (407) 749-8670

1112 Russell Pkwy
Ste C
Warner Robins, GA 31088
Phone (478) 328-0900

Organizations & group practices 4

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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200614400000",
    "number": "1194885848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12924 HIGHWAY 92 STE 100",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301885193",
            "telephone_number": "678-717-9121",
            "fax_number": "770-926-2287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12924 HIGHWAY 92 STE 100",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301885193",
            "telephone_number": "678-717-9121",
            "fax_number": "770-926-2287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANANIA",
        "first_name": "DOUGLAS",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2008-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA1885",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

Verify at the official NPI Registry.