Individual provider Active NPI

Theresa Dang, OD

  • Optometrist
  • Gainesville, GA
National Provider Identifier
1508726639
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT003705 Issued in GA
Practice address
890 Dawsonville Hwy
Gainesville, GA 30501-2607
Phone
(770) 532-4171
NPI assigned
Nov 12, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT003705 GA Primary

Addresses

Primary practice location

890 Dawsonville Hwy
Gainesville, GA 30501-2607

Mailing address

890 Dawsonville Hwy
Gainesville, GA 30501-2607

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
I20260109000102 GA Practitioner - Optometry 4880170877 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1885 FM 2673 Unit
Suite 146
Canyon Lake, TX 78133-4765

316 S Hamilton Rd
Gahanna, OH 43230-3350

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT003705GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family First Vision Care Georgia Optometrist CurrentSince Dec 1, 2025 Accepting new patients
West Point Optical Optometrist PastSince Nov 18, 2025 Accepting new patients

Locations

1455 Riverstone Pkwy
Ste 110
Canton, GA 30114
Phone (770) 479-0500

239 Market Place Blvd
Cartersville, GA 30121
Phone (770) 607-1448

890 Dawsonville Hwy
Ste A
Gainesville, GA 30501
Phone (770) 532-4171

1401 Johnson Ferry Rd
Ste 148B
Marietta, GA 30062
Phone (770) 509-8480

10775 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 998-0331

316 S Hamilton Rd
Gahanna, OH 43230

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1762905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1508726639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 DAWSONVILLE HWY",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305012607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 DAWSONVILLE HWY",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305012607",
            "telephone_number": "770-532-4171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANG",
        "first_name": "THERESA",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-12",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

Verify at the official NPI Registry.