Individual provider Active NPI

Yelena Sirota, OD

  • Optometrist
  • Peachtree Corners, GA
National Provider Identifier
1235788183
Registry record updated Sep 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT003185 Issued in GA
Practice address
5151 Peachtree Pkwy Ste 700
Peachtree Corners, GA 30092-6523
Phone
(770) 623-8564
Fax
(770) 441-1237
NPI assigned
Sep 4, 2019
Last updated
Sep 4, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT003185 GA Primary

Addresses

Primary practice location

5151 Peachtree Pkwy Ste 700
Peachtree Corners, GA 30092-6523

Mailing address

5151 Peachtree Pkwy Ste 700
Peachtree Corners, GA 30092-6523
Phone (770) 623-8564

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
I20191205001898 GA Practitioner - Optometry 4385077304 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Perimeter Vision Care LLCGroup PAC ID 0547685810, 18 clinicians

Practice addresses (Care Compare)

4400 Ashford Dunwoody Rd NE
Suite 1280
Atlanta, GA 30346-1546
Phone (770) 727-0772

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Perimeter Vision Care, LLC Optometrist CurrentSince Oct 1, 2021 Accepting new patients
Perimeter Vision Care, LLC Optometrist CurrentSince Oct 1, 2021 Accepting new patients
Perimeter Vision Care, LLC Optometrist PastSince Jul 21, 2024 Accepting new patients

Locations

1154 N Point Cir
Alpharetta, GA 30022
Phone (770) 667-8060

6350 N Point Pkwy
Ste 600A
Alpharetta, GA 30022

200 Ashford Ctr N
Ste 305
Atlanta, GA 30338

2860 Cumberland Mall SE
Ste 1440
Atlanta, GA 30339
Phone (770) 434-4552

3393 Peachtree Rd NE
Ste B128
Atlanta, GA 30326
Phone (404) 233-9296

4400 Ashford Dunwoody Rd NE
Ste 1280
Atlanta, GA 30346
Phone (770) 395-6717

400 Ernest W Barrett Pkwy NW
Ste 617
Kennesaw, GA 30144
Phone (770) 421-1734

Organizations & group practices 3

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": "1567555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1235788183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 PEACHTREE PKWY STE 700",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300926523",
            "telephone_number": "770-623-8564",
            "fax_number": "770-441-1237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 PEACHTREE PKWY STE 700",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300926523",
            "telephone_number": "770-623-8564",
            "fax_number": "770-441-1237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIROTA",
        "first_name": "YELENA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-04",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachtree Corners, GA

Sources for this page

Verify at the official NPI Registry.