Individual provider Active NPI

Dawn M Marsala, OD

  • Optometrist
  • Alpharetta, GA
National Provider Identifier
1689856361
Registry record updated Apr 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1641 Issued in GA
Practice address
1114 Northpoint Cir
Alpharetta, GA 30022-4854
Phone
(770) 667-8060
Fax
(770) 667-2024
NPI assigned
Dec 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 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 1641 GA Primary

Addresses

Primary practice location

1114 Northpoint Cir
Alpharetta, GA 30022-4854

Mailing address

3100 Commonwealth Way
Alpharetta, GA 30004-4263
Phone (404) 451-5980

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
I20190302000141 GA Practitioner - Optometry 7012256449 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optima Eye Care LLCGroup PAC ID 6103215801, 3 clinicians

Practice addresses (Care Compare)

6365 Halcyon Way
Suite 935
Alpharetta, GA 30005-2317
Phone (404) 662-4123

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1641GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Optima Eye Care LLC Optometrist CurrentSince Oct 21, 2019 Accepting new patients

Locations

6365 Halcyon Way
Ste 935
Alpharetta, GA 30005
Phone (404) 662-4123

Organizations & group practices 1

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": "1196726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556150400000",
    "number": "1689856361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 COMMONWEALTH WAY",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300044263",
            "telephone_number": "404-451-5980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 NORTHPOINT CIR",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300224854",
            "telephone_number": "770-667-8060",
            "fax_number": "770-667-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSALA",
        "first_name": "DAWN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-04",
        "last_updated": "2019-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "1641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

Verify at the official NPI Registry.