Organization Active NPI

Eye Physicians and Surgeons PC

  • Ophthalmology Physician
  • Decatur, GA
National Provider Identifier
1720011422
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
EYE PHYSICIANS AND SURGEONS PC
Practice address
1457 Scott Blvd
Decatur, GA 30030-1425
Phone
(404) 292-2500
Fax
(404) 294-9361
NPI assigned
Jul 8, 2006
Last updated
May 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Authorized official

Name
Ajeet DhingraNPI 1184625907
Title
Treasurer
Phone
(404) 292-2500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X Primary

Addresses

Primary practice location

1457 Scott Blvd
Decatur, GA 30030-1425

Mailing address

1457 Scott Blvd
Decatur, GA 30030-1425
Phone (404) 292-2500

Other names 1

  • EYE PHYSICIANS & SURGEONS PC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040426000425 GA Part B Supplier - Clinic/Group Practice 7214923069 Receives reassigned benefits from 9 practitioners
Practice locations: Atlanta, GA; Decatur, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D1086431Eye Physicians and Surgeons PC1457 Scott Boulevard, Decatur, GA 30030Certificate of waiverNov 30, 2026

National Provider Directory

National Provider Directory

Locations

4360 Chamblee Dunwoody Rd
Ste 108
Atlanta, GA 30341
Phone (678) 584-0400

4360 Chamblee Dunwoody Rd
Ste 110
Atlanta, GA 30341

5775 Peachtree Dunwoody
Ste D175
Sandy Springs, GA 30342

Interoperability endpoints

  • Direct secure messaging: adhingra@atlantaeye.intellechartdirect.net
  • Direct secure messaging: cweeks@atlantaeye.intellechartdirect.net
  • Direct secure messaging: imenon@atlantaeye.intellechartdirect.net
  • Direct secure messaging: jthomas@atlantaeye.intellechartdirect.net
  • Direct secure messaging: lbealer@atlantaeye.intellechartdirect.net
  • Direct secure messaging: pgordon@atlantaeye.intellechartdirect.net
  • Direct secure messaging: pmcmanus@atlantaeye.intellechartdirect.net
  • Direct secure messaging: ppatel@atlantaeye.intellechartdirect.net
  • Direct secure messaging: sshah@atlantaeye.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779926400000",
    "number": "1720011422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1457 SCOTT BLVD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301425",
            "telephone_number": "404-292-2500",
            "fax_number": "404-294-9361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1457 SCOTT BLVD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301425",
            "telephone_number": "404-292-2500",
            "fax_number": "404-294-9361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE PHYSICIANS AND SURGEONS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A",
        "authorized_official_last_name": "DHINGRA",
        "authorized_official_first_name": "AJEET",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "404-292-2500"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EYE PHYSICIANS & SURGEONS PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.