Individual provider Active NPI

Alyssa Dicus, OD

  • Optometrist
  • Alpharetta, GA
National Provider Identifier
1245074640
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
003572 Issued in GA
Practice address
5315 Windward Pkwy Ste F
Alpharetta, GA 30004-8915
Phone
(678) 393-2025
NPI assigned
Jun 20, 2024
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Windward Eye Care 6 clinicians

Practice addresses (Care Compare)

5315 Windward Pkwy
F
Alpharetta, GA 30004-8915
Phone (678) 393-2025

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20240918003807 GA Practitioner - Optometry 3072054956 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Windward Eye Care, Inc. Optometrist CurrentSince Jul 15, 2024 Accepting new patients
Windward Eye Care Optometrist CurrentSince Jun 23, 2024 Accepting new patients

Locations

2725 Old Milton Pkwy
Ste B
Alpharetta, GA 30009
Phone (770) 475-1777

5315 Windward Pkwy
#F
Alpharetta, GA 30004
Phone (678) 393-2025

5315 Windward Pkwy
Ste F
Alpharetta, GA 30004
Phone (678) 393-2025

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 003572 GA Primary

Addresses

NPPES NPI Registry

Primary practice location

5315 Windward Pkwy Ste F
Alpharetta, GA 30004-8915

Mailing address

900 Burren Dr
Alpharetta, GA 30004-4378
Phone (678) 702-4585

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 20, 2024.

{
    "created_epoch": "1718841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1245074640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 BURREN DR",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300044378",
            "telephone_number": "678-702-4585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5315 WINDWARD PKWY STE F",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300048915",
            "telephone_number": "678-393-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICUS",
        "first_name": "ALYSSA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-20",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "003572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

Verify at the official NPI Registry.