Individual provider Active NPI

Erica Lee Udell, O.D.

  • Optometrist
  • Decatur, GA
National Provider Identifier
1841447901
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT002564 Issued in GA
Practice address
125 Clairemont Ave Ste 485
Decatur, GA 30030-2558
Phone
(404) 968-9471
Fax
(404) 255-7373
NPI assigned
Aug 20, 2008
Last updated
Jul 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV007266 NY
Optometrist 152W00000X OPT002564 GA Primary

Addresses

Primary practice location

125 Clairemont Ave Ste 485
Decatur, GA 30030-2558

Mailing address

125 Clairemont Ave Ste 485
Decatur, GA 30030-2558
Phone (404) 968-9471

Other names 1

  • Dr. Erica Lee Rogow Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT002564GAMDOptometrist
TUV007266NYMDOptometrist
007266NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Intown Dry Eye Care LLC Optometrist CurrentSince May 11, 2025 Accepting new patients
Luxottica of America Inc. Past Accepting new patients
Luxottica of America Inc Past Accepting new patients

Locations

125 Clairemont Ave
Ste 485
Decatur, GA 30030
Phone (404) 968-9471

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1841447901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 CLAIREMONT AVE STE 485",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302558",
            "telephone_number": "404-968-9471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 CLAIREMONT AVE STE 485",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302558",
            "telephone_number": "404-968-9471",
            "fax_number": "404-255-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UDELL",
        "first_name": "ERICA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-20",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV007266",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERICA",
            "last_name": "ROGOW",
            "middle_name": "LEE",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional 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 Jul 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.