Individual provider Active NPI

Sylvester Ayewoh, OD

  • Optometrist
  • Hiram, GA
National Provider Identifier
1508101510
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT002733 Issued in GA
Practice address
4373 Jimmy Lee Smith Pkwy Ste 101
Hiram, GA 30141-2629
Phone
(770) 943-2220
Fax
(770) 943-4245
NPI assigned
Dec 2, 2012
Last updated
Jun 25, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 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 OPT002733 GA Primary

Addresses

Primary practice location

4373 Jimmy Lee Smith Pkwy Ste 101
Hiram, GA 30141-2629

Mailing address

3765 Atticus Ave
Douglasville, GA 30135-7257
Phone (678) 457-7048

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
I20130130000198 GA Practitioner - Optometry 9133373020 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Georgia, LLCGroup PAC ID 8224261201, 100 clinicians

Practice addresses (Care Compare)

207 Chestnut St
Bremen, GA 30110-2021
Phone (770) 537-5246

4875 Altama Ave
Brunswick, GA 31520-2912
Phone (912) 554-0010

806 Dixie St
Carrollton, GA 30117-4416
Phone (770) 834-2071

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT002733GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ga Doctors of Optometry LLC Optometrist CurrentSince Nov 2, 2022 Accepting new patients
Infocus Eye Care, Inc. Optometrist CurrentSince May 7, 2024 Accepting new patients
Ga Doctors of Optometry LLC Optometrist CurrentSince Nov 2, 2022 Accepting new patients
Myeyedr Optometry of Georgia, LLC Optometrist CurrentSince Mar 1, 2025 Accepting new patients
Myeyedr Optometry of Georgia, LLC Optometrist CurrentSince Mar 1, 2025 Accepting new patients
Myeyedr Optometry of Georgia, LLC Optometrist Current Accepting new patients
Star Optometry Ga LLC Optometrist CurrentSince Sep 8, 2025 Accepting new patients
Myeyedr Optometry of Georgia, LLC Optometrist Past Accepting new patients
MC DO Optometry LLC Optometrist Past Accepting new patients

Locations

6121 Cedarcrest Rd NW
#108
Acworth, GA 30101
Phone (770) 529-7789

207 Chestnut St
Bremen, GA 30110
Phone (770) 537-5246

4875 Altama Ave
Brunswick, GA 31520
Phone (912) 554-0010

806 Dixie St
Carrollton, GA 30117
Phone (770) 834-2071

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

5851 S Vickery
Cumming, GA 30040
Phone (678) 648-5185

6700 Douglas Blvd
Ste 1270
Douglasville, GA 30135
Phone (770) 577-4434

6700 Douglas Blvd
Ste 1550
Douglasville, GA 30135
Phone (770) 852-1002

4373 Jimmy Lee Smith Pkwy
Ste 101
Hiram, GA 30141
Phone (770) 943-2220

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

7501 Paragon Rd
Ste 201
Dayton, OH 45459

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 9

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": "1354406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1508101510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3765 ATTICUS AVE",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301357257",
            "telephone_number": "678-457-7048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4373 JIMMY LEE SMITH PKWY STE 101",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "301412629",
            "telephone_number": "770-943-2220",
            "fax_number": "770-943-4245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYEWOH",
        "first_name": "SYLVESTER",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-12-02",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hiram, GA

Sources for this page

Verify at the official NPI Registry.