Individual provider Active NPI

Valerie Dianne Robbins-Acker, O.D.

  • Optometrist
  • East Point, GA
National Provider Identifier
1437395522
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT002510 Issued in GA
Practice address
3360 Shelby LN Ste 1010
East Point, GA 30344-5745
Phone
(404) 344-0274
Fax
(404) 344-4581
NPI assigned
Dec 19, 2008
Last updated
Jan 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT002510 GA Primary

Addresses

Primary practice location

3360 Shelby LN Ste 1010
East Point, GA 30344-5745

Mailing address

175 E Houston St
San Antonio, TX 78205-2299
Phone (726) 444-4069

Other identifiers 1

IdentifierTypeStateIssuer
003112267AMedicaidGA

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
I20110107000843 GA Practitioner - Optometry 9335338268 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ga Doctors of Optometry LLC Optometrist CurrentSince Aug 19, 2023 Accepting new patients
Ga Doctors of Optometry LLC Optometrist CurrentSince Aug 19, 2023 Accepting new patients

Locations

50 Main Street Market Pl SE
Ste 100
Cartersville, GA 30121
Phone (770) 382-6379

3360 Shelby Ln
Ste 1010
East Point, GA 30344
Phone (404) 344-0274

2929 Turner Hill Rd
Ste 2625
Lithonia, GA 30038
Phone (770) 482-5050

175 E Houston St
San Antonio, TX 78205
Phone (210) 524-6982

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": "1229644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1437395522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 E HOUSTON ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782052299",
            "telephone_number": "726-444-4069",
            "fax_number": "210-524-6587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3360 SHELBY LN STE 1010",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303445745",
            "telephone_number": "404-344-0274",
            "fax_number": "404-344-4581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBBINS-ACKER",
        "first_name": "VALERIE",
        "middle_name": "DIANNE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-19",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003112267A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Point, GA

Sources for this page

Verify at the official NPI Registry.