Individual provider Active NPI

Lauren Dyak, O.D.

  • Optometrist
  • Atlanta, GA
National Provider Identifier
1235548603
Registry record updated Sep 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
002827 Issued in GA
Practice address
485 Trowgate LN
Atlanta, GA 30350-6887
Phone
(303) 250-9095
NPI assigned
Aug 10, 2014
Last updated
Sep 9, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 002827 GA Primary
Corneal and Contact Management Optometrist 152WC0802X 002827 GA

Addresses

Primary practice location

485 Trowgate LN
Atlanta, GA 30350-6887

Mailing address

485 Trowgate LN
Atlanta, GA 30350-6887
Phone (303) 250-9095

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
I20151208001371 GA Practitioner - Optometry 9133429509 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jonathan Woolfson MD PCGroup PAC ID 8426046665, 29 clinicians

Practice addresses (Care Compare)

800 Mount Vernon Nehwy
Suite 130
Atlanta, GA 30328-4293
Phone (404) 237-1770

Merit-based Incentive Payment System (MIPS)

Final score
85.81 of 100Reported as group
Quality
81.18
Promoting interoperability
92
Improvement activities
40
Cost
78.2

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002827GAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clarkson Optometry Georgia Inc Optometrist CurrentSince Jul 14, 2015 Accepting new patients
Reagin Decatur Group, LLC CurrentSince Aug 5, 2018 Accepting new patients
Jonathan Woolfson, MD, PC CurrentSince Oct 1, 2017 Accepting new patients
Jonathan Woolfson, MD, P.C. Past Accepting new patients

Locations

8400 Holcomb Bridge Rd
Ste 440
Alpharetta, GA 30022
Phone (770) 645-1222

1691 Phoenix Blvd
Ste 195
Atlanta, GA 30349
Phone (770) 804-1864

216 Church St
Decatur, GA 30030
Phone (404) 378-3694

1980 Riverside Pkwy
Ste 103
Lawrenceville, GA 30043
Phone (404) 237-1770

800 Mount Vernon Hwy NE
Ste 100
Sandy Springs, GA 30328
Phone (404) 237-1770

800 Mount Vernon Hwy NE
Ste 125
Sandy Springs, GA 30328
Phone (404) 256-1125

800 Mount Vernon Hwy NE
Ste 130
Sandy Springs, GA 30328
Phone (404) 237-1770

15933 Clayton Rd
Ste 201
Ballwin, MO 63011

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ecp_cecga

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, 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": "1407628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441756800000",
    "number": "1235548603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 TROWGATE LN",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303506887",
            "telephone_number": "303-250-9095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 TROWGATE LN",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303506887",
            "telephone_number": "303-250-9095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYAK",
        "first_name": "LAUREN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-10",
        "last_updated": "2015-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "002827",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "GA",
            "license": "002827",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.