Thomas Koepke, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT003141 Issued in GA

Practice address

2458 Jett Ferry Rd Ste 230
Dunwoody, GA 30338-3060

Phone

(404) 678-4874

Fax

(404) 678-4804

NPI assigned

Aug 5, 2016

Last updated

Oct 15, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Tommy Koepke Other name

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

Specialty

Optometry

Education

University of the Incarnate Word School of Osteo Medicine, 2015

Medicare assignment

May accept Medicare assignment

Group practices

Johns Creek Eye Care, LLCGroup PAC ID 2163850934, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

Locations

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.

• Atl Eyecare LLC

  • Optometrist
  • Dunwoody, GA
  • NPI 1083403588
  Medicare reassignment NPD Authorized official
• Johns Creek Eye Care LLC

  dba Justice Vision Clinic

  • Optometrist
  • Duluth, GA
  • NPI 1720559362
  Medicare reassignment Care Compare group NPD
• Myeyedr Optometry of Georgia, LLC

  • Optometrist
  • Johns Creek, GA
  • NPI 1245171651
  NPD (past)

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

{
    "created_epoch": "1470355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1598219784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2458 JETT FERRY RD STE 230",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303383060",
            "telephone_number": "404-678-4874",
            "fax_number": "404-678-4804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2458 JETT FERRY RD STE 230",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303383060",
            "telephone_number": "404-678-4874",
            "fax_number": "404-678-4804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOEPKE",
        "first_name": "THOMAS",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-05",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TOMMY",
            "last_name": "KOEPKE",
            "credential": "OD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Abraham Kim, DDS
• Chol Kim, DMD
• James Kinahan, MD
• Andrew Bartley King, D.P.T.
• Lindsey Kirshner
• Indu Kollu, PHARMD
• Kelly Kratochvil, PT
• Shilpa Krishnan
• Aishwarya Kunta
• Hyeon Cheol Kweon, PHAMD

• Optometrist in Dunwoody, GA
• Providers in Dunwoody, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.