Active NPI
Alyssa Dicus, OD
- Optometrist
- Alpharetta, GA
National Provider Identifier
1245074640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 003572
- 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.
-
- Optometrist
- Alpharetta, GA
- NPI 1013175652
-
- Optometrist
- Alpharetta, GA
- NPI 1679710552
NPD Optometrist
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
Practice addresses (Care Compare)
5315 Windward Pkwy
F
Alpharetta, GA 30004-8915
Phone (678) 393-2025
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240918003807 | GA | Practitioner - Optometry | 3072054956 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Windward Eye Care, Inc. | Optometrist | Current | Accepting new patients |
| Windward Eye Care | Optometrist | Current | 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 003572 | GA | Primary |
Addresses
NPPES NPI RegistryPrimary 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.