Active NPI
Nicole Akpunku, OD
- Optometrist
- Alpharetta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT003103
- 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
- Last updated
- Sep 14, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT003103 | GA | Primary |
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
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr. Optometry of Georgia, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Georgia, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Georgia, LLC | Optometrist | Current | Accepting new patients |
| Kelechi Eye Associates LLC | 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
1950 Old Gallows Rd
Ste 520
Vienna, VA 22182
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
Organizations & group practices 5
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": "1530748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694649600000",
"number": "1881180628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1950 OLD GALLOWS RD STE 520",
"city": "VIENNA",
"state": "VA",
"postal_code": "221823970",
"telephone_number": "703-847-8899",
"fax_number": "571-223-6780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3975 OLD MILTON PKWY STE 2",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300054467",
"telephone_number": "678-624-7766",
"fax_number": "678-624-7766"
}
],
"practiceLocations": [
{
"address_1": "5370 Campbellton Fairburn Rd Ste 410",
"address_purpose": "LOCATION",
"city": "Fairburn",
"state": "GA",
"postal_code": "302132296",
"country_code": "US",
"telephone_number": "770-629-4351",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AKPUNKU",
"first_name": "NICOLE",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-05",
"last_updated": "2023-09-14",
"certification_date": "2023-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "OPT003103",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alpharetta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.