Individual provider Active NPI

Angela Girello, O.D.

  • Optometrist
  • Roswell, GA
National Provider Identifier
1427295740
Registry record updated Sep 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1495 Issued in GA
Practice address
1035 Lancaster SQ
Roswell, GA 30076-6328
Phone
(678) 245-4244
NPI assigned
Jan 8, 2009
Last updated
Sep 30, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1495 GA Primary

Addresses

Primary practice location

1035 Lancaster SQ
Roswell, GA 30076-6328

Mailing address

1035 Lancaster SQ
Roswell, GA 30076-6328
Phone (678) 245-4244

Other names 1

  • Mrs. Angela Barnes Other name

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
I20221109000007 GA Practitioner - Optometry 9032586755 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tasobb, LLC CurrentSince Sep 1, 2022 Accepting new patients
Premier Image Cosmetic & Laser Surgery PastSince Sep 1, 2022 Accepting new patients

Locations

10779 Alpharetta Hwy
Ste 140
Roswell, GA 30076
Phone (404) 910-2690

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": "1231372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664496000000",
    "number": "1427295740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 LANCASTER SQ",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300766328",
            "telephone_number": "678-245-4244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 LANCASTER SQ",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300766328",
            "telephone_number": "678-245-4244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIRELLO",
        "first_name": "ANGELA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-08",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "1495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "BARNES",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Roswell, GA

Sources for this page

Verify at the official NPI Registry.