Individual provider Active NPI

Brie Hevesy, O.D.

  • Optometrist
  • Acworth, GA
National Provider Identifier
1497981898
Registry record updated Dec 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT 002495 Issued in GA
Practice address
4900 Ivey Rd NW Ste 1226
Acworth, GA 30101-4108
Phone
(770) 974-3153
Fax
(770) 974-3154
NPI assigned
Jun 1, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 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 OPT 002495 GA Primary

Addresses

Primary practice location

4900 Ivey Rd NW Ste 1226
Acworth, GA 30101-4108

Mailing address

4900 Ivey Rd NW Ste 1226
Acworth, GA 30101-4108
Phone (770) 974-3153

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
I20100421000180 GA Practitioner - Optometry 8527195676 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
A. Dylan Reach, OD, PCGroup PAC ID 9133252539, 4 clinicians

Practice addresses (Care Compare)

4900 Ivey Rd NW
Suite 12226
Acworth, GA 30101-4001
Phone (770) 974-3153

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT 002495GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
A. Dylan Reach, OD, PC Optometrist CurrentSince Nov 8, 2018 Accepting new patients
Vision Onsite Optometrist PastSince Sep 15, 2024 Accepting new patients
Eyecontact Inc. Optometrist PastSince Nov 2, 2009 Accepting new patients
TJ Roberts, LLC Optometrist PastSince Oct 1, 2019 Accepting new patients
Clarkson Optometry Georgia Inc Optometrist Past Accepting new patients
Mobley Riverdale Eye Clinic Inc Optometrist Past Accepting new patients
B.Dean Mobley, O.D., P.C. Optometrist PastSince Jan 9, 2019 Accepting new patients

Locations

4900 Ivey Rd NW
Ste 1226
Acworth, GA 30101
Phone (678) 279-1141

4900 Ivey Rd NW
Ste 12226
Acworth, GA 30101
Phone (770) 974-3153

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ecp_cecga

Organizations & group practices 8

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": "1243814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1497981898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 IVEY RD NW STE 1226",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301014108",
            "telephone_number": "770-974-3153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 IVEY RD NW STE 1226",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301014108",
            "telephone_number": "770-974-3153",
            "fax_number": "770-974-3154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEVESY",
        "first_name": "BRIE",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-01",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT 002495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Acworth, GA

Sources for this page

Verify at the official NPI Registry.