Nicole Akpunku, OD
Individual provider Active NPI Optometrist · Alpharetta, GA
NPI 1881180628 · NPPES record last updated Sep 14, 2023
Key facts
- NPI
- 1881180628
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- OPT003103 (GA)
- Practice address
- 3975 Old Milton Pkwy Ste 2
Alpharetta, GA 30005-4467 - Phone
- (678) 624-7766
- Fax
- (678) 624-7766
- NPI assigned
- Jul 5, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180830003605 | GA | Practitioner - Optometry | 7113277799 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of Georgia, LLC | Optometrist | Current | Accepting new patients |
| Kelechi Eye Associates LLC | Current |
Accepting new patients | |
| Myeyedr Optometry of Georgia, LLC | Optometrist | Current |
Accepting new patients |
| Myeyedr. Optometry of Georgia, LLC | Optometrist | Current |
Accepting new patients |
| Jackson Family Eye Care, LLC | Optometrist | Past | Accepting new patients |
Locations
3975 Old Milton Pkwy
Ste 2
Alpharetta, GA 30005
Phone (678) 624-7766
4875 Altama Ave
Brunswick, GA 31520
Phone (912) 554-0010
1436 Dogwood Dr SE
Conyers, GA 30013
Phone (770) 860-8544
1438 Dogwood Dr SE
Conyers, GA 30013
Phone (678) 607-1318
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
1950 Old Gallows Rd
Ste 520
Vienna, VA 22182
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT003103 | GA | Yes |
Addresses
Primary practice location
3975 Old Milton Pkwy Ste 2
Alpharetta, GA 30005-4467
Mailing address
1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone (703) 847-8899
Other practice location 1
5370 Campbellton Fairburn Rd Ste 410
Fairburn, GA 30213-2296
Phone (770) 629-4351
Other providers in Alpharetta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 14, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.