Individual provider Active NPI

Haiying Cheng, O.D

  • Optometrist
  • Johns Creek, GA
National Provider Identifier
1366876310
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT002778 Issued in GA
Practice address
10475 Medlock Bridge Rd Ste 104
Johns Creek, GA 30097-4434
Phone
(404) 293-5990
NPI assigned
Aug 27, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X OPT002778 GA
Pediatric Optometrist 152WP0200X OPT002778 GA
Optometrist 152W00000X OPT002778 GA Primary

Addresses

Primary practice location

10475 Medlock Bridge Rd Ste 104
Johns Creek, GA 30097-4434

Mailing address

10475 Medlock Bridge Rd Ste 104
Johns Creek, GA 30097-4434
Phone (404) 293-5990

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
I20230711000695 GA Practitioner - Optometry 0840656930 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10475 Medlock Bridge Rd
Suite 104
Johns Creek, GA 30097-4434
Phone (404) 293-5990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT002778GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Envision LLC Optometrist CurrentSince May 24, 2023 Accepting new patients
Mehac Past Accepting new patients
Cobb Eye Associates II LLC Optometrist Past Accepting new patients

Locations

10475 Medlock Bridge Rd
Ste 104
Johns Creek, GA 30097
Phone (404) 293-5990

3245 Lawrenceville Suwanee Rd
Suwanee, GA 30024
Phone (678) 482-0572

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1377561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1366876310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10475 MEDLOCK BRIDGE RD STE 104",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300974434",
            "telephone_number": "404-293-5990",
            "fax_number": "678-482-0876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10475 MEDLOCK BRIDGE RD STE 104",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300974434",
            "telephone_number": "404-293-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHENG",
        "first_name": "HAIYING",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-27",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "GA",
            "license": "OPT002778",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "GA",
            "license": "OPT002778",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johns Creek, GA

Sources for this page

Verify at the official NPI Registry.