Individual provider Active NPI

Pooja Shailesh Patel, OD

  • Optometrist
  • Marietta, GA
National Provider Identifier
1508431255
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT003357 Issued in GA
Practice address
6520 Ernest Barrett Pkwy
Marietta, GA 30064-4571
Phone
(770) 222-6603
NPI assigned
May 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 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 OPT003357 GA Primary

Addresses

Primary practice location

6520 Ernest Barrett Pkwy
Marietta, GA 30064-4571

Mailing address

1060 Windy Elm Dr
Smyrna, GA 30082-1521
Phone (770) 222-6603

Other practice location 1

10775 Alpharetta Hwy
Roswell, GA 30076-1772
Phone (770) 998-9656

Other practice location 2

1457 Scott Blvd
Decatur, GA 30030-1425
Phone (404) 292-2500

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
I20220118000583 GA Practitioner - Optometry 0446642896 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Physicians and Surgeons PCGroup PAC ID 7214923069, 8 clinicians

Practice addresses (Care Compare)

1457 Scott Blvd
Decatur, GA 30030-1425
Phone (404) 292-2500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT003357GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Physicians and Surgeons PC CurrentSince Sep 1, 2022 Accepting new patients
Harman LLC Optometrist Current Accepting new patients

Locations

1457 Scott Blvd
Decatur, GA 30030
Phone (404) 292-2500

6520 Ernest W Barrett Pkwy SW
Marietta, GA 30064
Phone (770) 222-6603

Interoperability endpoints

  • Direct secure messaging: ppatel@atlantaeye.intellechartdirect.net

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": "1621900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1508431255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 WINDY ELM DR",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300821521",
            "telephone_number": "770-222-6603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6520 ERNEST BARRETT PKWY",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300644571",
            "telephone_number": "770-222-6603"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10775 Alpharetta Hwy",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "GA",
            "postal_code": "300761772",
            "country_code": "US",
            "telephone_number": "770-998-9656",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1457 Scott Blvd",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300301425",
            "country_code": "US",
            "telephone_number": "404-292-2500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "POOJA",
        "middle_name": "SHAILESH",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-25",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.