India Donofrio, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT003588 Issued in GA

Practice address

1615 Ridenour Blvd NW Ste 201
Kennesaw, GA 30152-4464

Phone

(770) 499-2020

NPI assigned

Jun 25, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Infocus Eye Care, IncGroup PAC ID 0345594362, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Infocus Eye Care, Inc.

  • Optometrist
  • Douglasville, GA
  • NPI 1023517471
  Medicare reassignment Care Compare group NPD
• Optimist LLC

  • Optometrist
  • Kennesaw, GA
  • NPI 1407232515
  NPD
• Eecarman OD PC

  • Optometrist
  • Kennesaw, GA
  • NPI 1205155116
  NPD (past)

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

{
    "created_epoch": "1719273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1679318489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SHALLOWFORD RD NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301445339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 RIDENOUR BLVD NW STE 201",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301524464",
            "telephone_number": "770-499-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOFRIO",
        "first_name": "INDIA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-25",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elsa Doguy-Kamara
• Brinkley Madison Doherty, RPH
• Kristopher Dolehanty, PA-C
• Elisabeth Dolloff
• Caroline Nicole Donner, NP-C
• Taniah Doomes, RBT
• Grant Adam Doornbos, M.D.
• Marie Carline Dorleus, FNP
• Kate Dorrough, LPC
• Sonny Sandeep Singh Dosanjh, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.