Individual provider Active NPI

Gabriel Colon, O.D.

  • Optometrist
  • Norcross, GA
National Provider Identifier
1497851398
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT002226 Issued in GA
Practice address
2190 N Norcross Tucker Rd Ste 102
Norcross, GA 30071-3458
Phone
(770) 414-0020
Fax
(770) 414-0233
NPI assigned
Sep 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT002226 GA Primary

Addresses

Primary practice location

2190 N Norcross Tucker Rd Ste 102
Norcross, GA 30071-3458

Mailing address

2190 N Norcross Tucker Rd Ste 102
Norcross, GA 30071-3458
Phone (770) 414-0020

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070330000319 GA Practitioner - OptometryPractitioner - Ophthalmology 5991809956 Reassigns benefits to 1 organization
Practice locations: Dalton, GA; Norcross, GA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mark Lynn OD & Associates, PC Optometrist CurrentSince Dec 26, 2011 Accepting new patients
Mark Lynn O.D. & Associates, PC CurrentSince Dec 26, 2011 Accepting new patients
Dr. Gabriel Colon O.D. Optometrist Past Accepting new patients

Locations

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

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": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1497851398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2190 N NORCROSS TUCKER RD STE 102",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300713458",
            "telephone_number": "770-414-0020",
            "fax_number": "770-414-0233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2190 N NORCROSS TUCKER RD STE 102",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300713458",
            "telephone_number": "770-414-0020",
            "fax_number": "770-414-0233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON",
        "first_name": "GABRIEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norcross, GA

Sources for this page

Verify at the official NPI Registry.