Individual provider Active NPI

Tamara D Hester, O.D.

  • Optometrist
  • Marietta, GA
National Provider Identifier
1669592531
Registry record updated Jan 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1499 Issued in GA
Practice address
2645 Dallas Hwy SW Ste 100
Marietta, GA 30064-7577
Phone
(770) 422-8002
NPI assigned
Apr 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1499 GA Primary

Addresses

Primary practice location

2645 Dallas Hwy SW Ste 100
Marietta, GA 30064-7577

Mailing address

3225 Cumberland Blvd SE Ste 900
Atlanta, GA 30339-5971
Phone (404) 351-2220

Other practice location 1

2972 Canton Rd
Marietta, GA 30066-3877
Phone (770) 422-3677

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
I20151112002915 GA Practitioner - Optometry 2961712443 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1499GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Consultants of Atlanta, PC CurrentSince Jan 1, 2019 Accepting new patients
Eca Optical, LLC CurrentSince Jan 1, 2019 Accepting new patients

Locations

3225 Cumberland Blvd SE
Ste 900
Atlanta, GA 30339
Phone (770) 394-4568

2645 Dallas Hwy SW
Ste 100
Marietta, GA 30064
Phone (770) 422-8002

5445 Meridian Mark Rd
Ste 220
Sandy Springs, GA 30342
Phone (404) 255-2419

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": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547769600000",
    "number": "1669592531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 CUMBERLAND BLVD SE STE 900",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395971",
            "telephone_number": "404-351-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2645 DALLAS HWY SW STE 100",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300647577",
            "telephone_number": "770-422-8002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2972 Canton Rd",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300663877",
            "country_code": "US",
            "telephone_number": "770-422-3677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HESTER",
        "first_name": "TAMARA",
        "middle_name": "D",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2019-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "1499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.