Individual provider Active NPI

Aldina Jakupovic, OD

  • Optometrist
  • Sandy Springs, GA
National Provider Identifier
1386164465
Registry record updated Sep 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT003027 Issued in GA
Practice address
901 Abernathy Rd Ste 100
Sandy Springs, GA 30328-2561
Phone
(404) 252-1702
Fax
(404) 303-8843
NPI assigned
Jun 21, 2017
Last updated
Sep 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT003027 GA Primary

Addresses

Primary practice location

901 Abernathy Rd Ste 100
Sandy Springs, GA 30328-2561

Mailing address

849 Wytower TRL
Norcross, GA 30093-4159
Phone (470) 262-8571

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
I20200507000489 GA Practitioner - Optometry 2163853177 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Alabama School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye 1St Holdings LLCGroup PAC ID 8729074380, 4 clinicians

Practice addresses (Care Compare)

901 Abernathy Rd
Suite 100
Sandy Springs, GA 30328-2561
Phone (404) 252-1702

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eye 1St Holdings LLC Optometrist CurrentSince Sep 1, 2021 Accepting new patients
Steven M. Wilson, O.D., P.C. Optometrist CurrentSince Apr 9, 2020 Accepting new patients

Locations

1215 Caroline St NE
Atlanta, GA 30307
Phone (404) 522-8886

1215 Caroline St NE
#H100
Atlanta, GA 30307

2108 N Patterson St
Valdosta, GA 31602
Phone (229) 244-3000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1386164465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "849 WYTOWER TRL",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300934159",
            "telephone_number": "470-262-8571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 ABERNATHY RD STE 100",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303282561",
            "telephone_number": "404-252-1702",
            "fax_number": "404-303-8843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAKUPOVIC",
        "first_name": "ALDINA",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-21",
        "last_updated": "2021-09-14",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy Springs, GA

Sources for this page

Verify at the official NPI Registry.