Individual provider Active NPI

Sally Marie Dillehay, O.D., M.S., ED.D.

  • Corneal and Contact Management Optometrist
  • Sandy Springs, GA
National Provider Identifier
1841647583
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
OPT002928 Issued in GA
Practice address
901 Abernathy Rd Ste 100
Sandy Springs, GA 30328-2561
Phone
(404) 752-1702
NPI assigned
May 23, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X OPT002928 GA Primary
Optometrist 152W00000X OH-3852-T408 OH

Addresses

Primary practice location

901 Abernathy Rd Ste 100
Sandy Springs, GA 30328-2561

Mailing address

345 Buckingham Forest CT
Roswell, GA 30075-6312
Phone (770) 596-5417

Other practice location 1

1190 Grimes Bridge Rd
Roswell, GA 30075-3930
Phone (770) 992-7620

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
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1463961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1841647583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 BUCKINGHAM FOREST CT",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300756312",
            "telephone_number": "770-596-5417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 ABERNATHY RD STE 100",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303282561",
            "telephone_number": "404-752-1702"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1190 Grimes Bridge Rd",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "GA",
            "postal_code": "300753930",
            "country_code": "US",
            "telephone_number": "770-992-7620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DILLEHAY",
        "first_name": "SALLY",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "O.D., M.S., ED.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-23",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "GA",
            "license": "OPT002928",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OH-3852-T408",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy Springs, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.