Individual provider Active NPI

Barry Schirack, O.D.

  • Optometrist
  • Acworth, GA
National Provider Identifier
1285625780
Registry record updated Apr 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT1060 Issued in GA
Practice address
6790 Highway 92
Ste 100
Acworth, GA 30102-2591
Phone
(770) 924-3355
Fax
(770) 928-1205
NPI assigned
Nov 2, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Paramedic 146L00000X 005552 GA
Optometrist 152W00000X OPT1060 GA Primary

Addresses

Primary practice location

6790 Highway 92
Ste 100
Acworth, GA 30102-2591

Mailing address

6790 Highway 92
Ste 100
Acworth, GA 30102-2591
Phone (770) 924-3355

Other identifiers 1

IdentifierTypeStateIssuer
321868182AMedicaidGA

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
I20061228000250 GA Practitioner - Optometry 5092715953 Practice locations: Acworth, GA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6790 Hwy 92
Suite 100
Acworth, GA 30102-2591
Phone (770) 924-3355

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT1060GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Procare Eye Center Optometrist PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586995200000",
    "number": "1285625780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6790 HIGHWAY 92",
            "address_2": "STE 100",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301022591",
            "telephone_number": "770-924-3355",
            "fax_number": "770-928-1205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6790 HIGHWAY 92",
            "address_2": "STE 100",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301022591",
            "telephone_number": "770-924-3355",
            "fax_number": "770-928-1205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHIRACK",
        "first_name": "BARRY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "GA",
            "license": "005552",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT1060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "321868182A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Acworth, GA

Sources for this page

Verify at the official NPI Registry.