Kathy Ann Samuels, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

GA1408 Issued in GA

Practice address

1201 N Peachtree Pkwy
Peachtree City, GA 30269-1743

Phone

(404) 861-7253

Fax

(404) 264-9459

NPI assigned

Jul 8, 2006

Last updated

Aug 24, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Southern College of Optometry, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Newnan Eye Care LLC

  dba I C Optique

  • Optometrist
  • Peachtree City, GA
  • NPI 1699022046
  Medicare reassignment NPD Authorized official
• East Georgia Eyecare LLC

  • Optometrist
  • Conyers, GA
  • NPI 1811024045
  NPD (past)
• Oneopto Ga 2 PLLC

  dba The Eye Center

  • Optometrist
  • Conyers, GA
  • NPI 1548194731
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345766400000",
    "number": "1255364774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 N PEACHTREE PKWY",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691743",
            "telephone_number": "404-861-7253",
            "fax_number": "404-264-9549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 N PEACHTREE PKWY",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691743",
            "telephone_number": "404-861-7253",
            "fax_number": "404-264-9459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUELS",
        "first_name": "KATHY",
        "middle_name": "ANN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2012-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "GA1408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrian Chearell Sago, LPC
• Leslie Ann Salinski, OT
• Sandra Nicole Salter, NP
• Victoria Sam, PT, DPT
• Sams East Inc (Sam's Club Optical 30-4789)
• Sharon Sanders
• Zane T Scarborough, PH.D.
• Kelly Schleismann, PD.D.
• Melissa Anne Schmoker, CCC-SLP
• Kimberly Anne Scholler, APRN, FNP-C

• Optometrist in Peachtree City, GA
• Providers in Peachtree City, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2012; 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.

Verify at the official NPI Registry.