Individual provider Active NPI

Anita Mody

  • Optometrist
  • Atlanta, GA
National Provider Identifier
1871117879
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT003256 Issued in GA
Practice address
1244 W Paces Ferry Rd NW
Atlanta, GA 30327-2306
Phone
(404) 844-1500
NPI assigned
Jun 4, 2020
Last updated
Jan 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X NU
Optometrist 152W00000X OPT003256 GA Primary

Addresses

Primary practice location

1244 W Paces Ferry Rd NW
Atlanta, GA 30327-2306

Mailing address

1244 W Paces Ferry Rd NW
Atlanta, GA 30327-2306

Other practice location 1

2345 E West Connector # 1010
Austell, GA 30106-6812
Phone (770) 941-2323

Other practice location 2

1013 E Freeway Dr SE
Conyers, GA 30094-5965
Phone (770) 922-7906

Other practice location 3

2427 Heritage Vlg Ste 4
Snellville, GA 30078-2699
Phone (770) 978-2020

Other practice location 4

4400 Ashford Dunwoody Rd NE Ste 1280
Atlanta, GA 30346-1546
Phone (567) 177-7036

Other practice location 5

8400 Holcomb Bridge Rd Ste 440
Alpharetta, GA 30022-1837
Phone (770) 645-1222

Other practice location 6

3820 Pleasant Hill Rd Ste 5
Duluth, GA 30096-1429
Phone (770) 476-9585

Other practice location 7

4153 Lawrenceville Hwy NW Ste 5
Lilburn, GA 30047-2854
Phone (770) 921-4707

Other practice location 8

5777 Old Winder Hwy
Braselton, GA 30517-1603
Phone (770) 534-5305

Other practice location 9

4320 Suwanee Dam Rd Ste 2100
Suwanee, GA 30024-1949
Phone (770) 614-5877

Other practice location 10

1675 Cumberland Pkwy SE Ste 103
Smyrna, GA 30080-6360
Phone (770) 438-0202

Other names 1

  • Anita Pandya Former name

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
I20210323000488 GA Practitioner - Optometry 5597172379 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Brilliant Eyes, LLCGroup PAC ID 0042406001, 2 clinicians
Clarkson Optometry Georgia IncGroup PAC ID 5193732949, 14 clinicians

Practice addresses (Care Compare)

2450 Atlanta Rd SE
Suite 200
Smyrna, GA 30080-2073
Phone (770) 428-0414

8400 Holcomb Bridge Rd
Suite 440
Alpharetta, GA 30022-1837
Phone (770) 645-1222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT003256GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Brilliant Eyes, LLC Optometrist CurrentSince Sep 1, 2025 Accepting new patients
Clarkson Optometry Georgia Inc Optometrist CurrentSince Sep 1, 2025 Accepting new patients
Perimeter Vision Care, LLC Optometrist CurrentSince Jan 1, 2021 Accepting new patients
Optique at West Paces LLC Optometrist CurrentSince Feb 8, 2022 Accepting new patients
Perimeter Vision Care, LLC Optometrist CurrentSince Jan 1, 2021 Accepting new patients
Choi and Bang OD, PC PastSince Apr 19, 2003 Accepting new patients
Perimeter Vision Care, LLC Optometrist Past Accepting new patients
B.Dean Mobley, O.D., P.C. Optometrist PastSince Jan 9, 2019 Accepting new patients
MC DO Optometry LLC Optometrist Past Accepting new patients
Heritage Vision Center, Inc. Optometrist PastSince Apr 1, 2017 Accepting new patients
Oneopto Ga 1 PLLC Optometrist Past Accepting new patients
Clarkson Optometry Georgia Inc Optometrist PastSince Sep 1, 2025 Accepting new patients
Special Care Optometry of Georgia, LLC Optometrist PastSince Dec 25, 2015 Accepting new patients

Locations

1154 N Point Cir
Alpharetta, GA 30022
Phone (770) 667-8060

8400 Holcomb Bridge Rd
Ste 440
Alpharetta, GA 30022
Phone (770) 645-1222

1244 W Paces Ferry Rd NW
Atlanta, GA 30327
Phone (404) 844-1500

200 Ashford Ctr N
Ste 305
Atlanta, GA 30338

2860 Cumberland Mall SE
Ste 1440
Atlanta, GA 30339
Phone (770) 434-4552

3393 Peachtree Rd NE
Ste B128
Atlanta, GA 30326
Phone (404) 233-9296

4400 Ashford Dunwoody Rd NE
Ste 1280
Atlanta, GA 30346
Phone (770) 395-6717

2345 E West Connector
Ste 1010
Austell, GA 30106
Phone (770) 941-2323

5777 Old Winder Hwy
Braselton, GA 30517
Phone (770) 534-5305

1013 E Freeway Dr SE
Conyers, GA 30094
Phone (770) 922-7906

3820 Pleasant Hill Rd
Ste 5
Duluth, GA 30096
Phone (770) 476-9585

400 Ernest W Barrett Pkwy NW
Ste 617
Kennesaw, GA 30144
Phone (770) 421-1734

4153 Lawrenceville Hwy NW
Ste 5
Lilburn, GA 30047
Phone (770) 921-4707

1675 Cumberland Pkwy SE
Ste 103
Smyrna, GA 30080
Phone (770) 438-0202

2450 Atlanta Rd SE
Ste 200
Smyrna, GA 30080
Phone (770) 428-0414

2427 Heritage Vlg
Ste 4
Snellville, GA 30078
Phone (770) 978-2020

4320 Suwanee Dam Rd
Ste 2100
Suwanee, GA 30024
Phone (770) 614-5877

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ecp_cecga

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1591228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1871117879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1244 W PACES FERRY RD NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303272306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1244 W PACES FERRY RD NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303272306",
            "telephone_number": "404-844-1500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2345 E West Connector # 1010",
            "address_purpose": "LOCATION",
            "city": "Austell",
            "state": "GA",
            "postal_code": "301066812",
            "country_code": "US",
            "telephone_number": "770-941-2323",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1013 E Freeway Dr SE",
            "address_purpose": "LOCATION",
            "city": "Conyers",
            "state": "GA",
            "postal_code": "300945965",
            "country_code": "US",
            "telephone_number": "770-922-7906",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2427 Heritage Vlg Ste 4",
            "address_purpose": "LOCATION",
            "city": "Snellville",
            "state": "GA",
            "postal_code": "300782699",
            "country_code": "US",
            "telephone_number": "770-978-2020",
            "fax_number": "470-508-2002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4400 Ashford Dunwoody Rd NE Ste 1280",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303461546",
            "country_code": "US",
            "telephone_number": "567-177-7036",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8400 Holcomb Bridge Rd Ste 440",
            "address_purpose": "LOCATION",
            "city": "Alpharetta",
            "state": "GA",
            "postal_code": "300221837",
            "country_code": "US",
            "telephone_number": "770-645-1222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3820 Pleasant Hill Rd Ste 5",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "GA",
            "postal_code": "300961429",
            "country_code": "US",
            "telephone_number": "770-476-9585",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4153 Lawrenceville Hwy NW Ste 5",
            "address_purpose": "LOCATION",
            "city": "Lilburn",
            "state": "GA",
            "postal_code": "300472854",
            "country_code": "US",
            "telephone_number": "770-921-4707",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5777 Old Winder Hwy",
            "address_purpose": "LOCATION",
            "city": "Braselton",
            "state": "GA",
            "postal_code": "305171603",
            "country_code": "US",
            "telephone_number": "770-534-5305",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4320 Suwanee Dam Rd Ste 2100",
            "address_purpose": "LOCATION",
            "city": "Suwanee",
            "state": "GA",
            "postal_code": "300241949",
            "country_code": "US",
            "telephone_number": "770-614-5877",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1675 Cumberland Pkwy SE Ste 103",
            "address_purpose": "LOCATION",
            "city": "Smyrna",
            "state": "GA",
            "postal_code": "300806360",
            "country_code": "US",
            "telephone_number": "770-438-0202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MODY",
        "first_name": "ANITA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-04",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANITA",
            "last_name": "PANDYA",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.