Individual provider Active NPI

Allison Theisen Dotson, O.D.

  • Optometrist
  • Alpharetta, GA
National Provider Identifier
1861568495
Registry record updated Apr 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
001576 Issued in GA
Practice address
3005 Old Alabama Rd
Ste 300
Alpharetta, GA 30022-1904
Phone
(770) 502-1891
Fax
(770) 502-1924
NPI assigned
Nov 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 001576 GA Primary

Addresses

Primary practice location

3005 Old Alabama Rd
Ste 300
Alpharetta, GA 30022-1904

Mailing address

3005 Old Alabama Rd
Ste 300
Johns Creek, GA 30022-1904
Phone (678) 393-9445

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
I20100928000299 GA Practitioner - Optometry 0547315210 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pritchett Eye Care LLCGroup PAC ID 4981030673, 3 clinicians

Practice addresses (Care Compare)

3005 Old Alabama Rd
Suite 300
Johns Creek, GA 30022-1904
Phone (678) 393-9445

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001576GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kent Alan Voyce OD PC Optometrist CurrentSince May 26, 2010 Accepting new patients
Pritchett Eye Care LLC Optometrist CurrentSince Jan 21, 2020 Accepting new patients
Forster Eye Care, P.C. Optometrist PastSince Jun 6, 2017 Accepting new patients

Locations

3005 Old Alabama Rd
Ste 300
Johns Creek, GA 30022
Phone (678) 230-3846

37 Calumet Pkwy
Ste M100
Newnan, GA 30263
Phone (678) 818-4400

1025 Highway 34 E
Newnan, GA 30265
Phone (770) 290-8002

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491436800000",
    "number": "1861568495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3005 OLD ALABAMA RD",
            "address_2": "STE 300",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300221904",
            "telephone_number": "678-393-9445",
            "fax_number": "678-298-8503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3005 OLD ALABAMA RD",
            "address_2": "STE 300",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300221904",
            "telephone_number": "770-502-1891",
            "fax_number": "770-502-1924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOTSON",
        "first_name": "ALLISON",
        "middle_name": "THEISEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-27",
        "last_updated": "2017-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "001576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

Verify at the official NPI Registry.