Active NPI
Douglas A. Anania, O.D.
- Optometrist
- Woodstock, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT002416
- 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
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 | 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT002416 | GA | MD | Optometrist |
| TA1885 | MD | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brookleigh Family Eyecare, Inc | Optometrist | Current | Accepting new patients |
| Navid Reza Khoshooee OD LLC | Optometrist | Current | Accepting new patients |
| 20-20 Optical Center LLC | Optometrist | Current | Accepting new patients |
| Parkway Family Eye Clinic Inc | Optometrist | Past | 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.
-
- Optometrist
- Forest Park, GA
- NPI 1932404241
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2008; 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.