Individual provider Active NPI

David Kyung Ho Cho, OD

  • Optometrist
  • Stockbridge, GA
National Provider Identifier
1225763832
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT003447 Issued in GA
Practice address
550 Eagles Landing Pkwy
Stockbridge, GA 30281-9081
Phone
(770) 474-1237
NPI assigned
Jul 18, 2022
Last updated
Jul 18, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT003447 GA Primary

Addresses

Primary practice location

550 Eagles Landing Pkwy
Stockbridge, GA 30281-9081

Mailing address

1240 W Peachtree St NW Apt 1309
Atlanta, GA 30309-4736

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
I20220920001410 GA Practitioner - Optometry 2769867258 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Depoe Eye Center PCGroup PAC ID 8224927702, 14 clinicians

Practice addresses (Care Compare)

550 Eagles Landing Pkwy
Suite 208
Stockbridge, GA 30281-9082
Phone (770) 474-1237

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Depoe Eye Center PC Optometrist CurrentSince Aug 1, 2022 Accepting new patients
B3 Optical LLC Optometrist PastSince Jul 24, 2022 Accepting new patients

Locations

300 N Main St
Ste 301
Jonesboro, GA 30236
Phone (770) 603-0063

110 Southpoint Blvd
McDonough, GA 30253
Phone (770) 228-2020

550 Eagles Landing Pkwy
Ste 208
Stockbridge, GA 30281
Phone (770) 415-8982

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1225763832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 W PEACHTREE ST NW APT 1309",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303094736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 EAGLES LANDING PKWY",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819081",
            "telephone_number": "770-474-1237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHO",
        "first_name": "DAVID",
        "middle_name": "KYUNG HO",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-18",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

Verify at the official NPI Registry.