Active NPI
Lauren Dyak, O.D.
- Optometrist
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 002827
- Practice address
- 485 Trowgate LN
Atlanta, GA 30350-6887 - Phone
- (303) 250-9095
- NPI assigned
- Aug 10, 2014
- Last updated
- Sep 9, 2015
- Sex
- Female
- Sole proprietor
- No
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 | 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
Enrollment records 1
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
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 100
- Quality
- 81.18
- Promoting interoperability
- 92
- Improvement activities
- 40
- Cost
- 78.2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002827 | GA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clarkson Optometry Georgia Inc | Optometrist | Current | Accepting new patients |
| Reagin Decatur Group, LLC | Current | Accepting new patients | |
| Jonathan Woolfson, MD, PC | Current | 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
- 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.
-
- Ophthalmology Physician
- Atlanta, GA
- NPI 1891935599
-
dba Reagin Optometric Group
- Health Service Clinic/Center
- Decatur, GA
- NPI 1770002693
-
dba Woolfson Eye Institute, LLC
- Ophthalmology Physician
- Atlanta, GA
- NPI 1255577300
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; 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.