Individual provider Active NPI

Emily Felouzis, OD

  • Optometrist
  • Conyers, GA
National Provider Identifier
1902487572
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT003448 Issued in GA
Practice address
1013 E Freeway Dr SE
Conyers, GA 30094-5965
Phone
(770) 922-7906
NPI assigned
Apr 15, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT003448 GA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1013 E Freeway Dr SE
Conyers, GA 30094-5965

Mailing address

1190 Grimes Bridge Rd Ste E
Roswell, GA 30075-3955
Phone (770) 992-7620

Other practice location 1

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

Other practice location 2

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

Other practice location 3

4320 Suwanee Dam Rd Ste 2100
Suwanee, GA 30024-1949
Phone (770) 614-8577

Other practice location 4

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

Other practice location 5

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

Other practice location 6

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

Other practice location 7

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

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
I20220809002724 GA Practitioner - Optometry 3779965645 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Roswell Eye Clinic,Inc 6 clinicians

Practice addresses (Care Compare)

1190 Grimes Bridge Rd
Roswell, GA 30075-3955
Phone (770) 992-7620

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery20

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Clarkson Optometry Georgia Inc Optometrist CurrentSince Jul 22, 2022 Accepting new patients
Roswell Eye Clinic,Inc Optometrist CurrentSince Apr 1, 2024 Accepting new patients
Clarkson Optometry Georgia Inc Optometrist PastSince Jul 24, 2022 Accepting new patients
State of Mississippi - University of Mississippi Medical Center PastSince Jul 22, 2022 Accepting new patients

Locations

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

2345 E West Connector
#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

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

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

1190 Grimes Bridge Rd
Ste E
Roswell, GA 30075

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

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

  • Direct secure messaging: emilyfelouzis@direct.eyecare-partners.com
  • FHIR API: https://app.meldrx.com/api/fhir/ecp_cecga

Organizations & group practices 4

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": "1618444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1902487572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 GRIMES BRIDGE RD STE E",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300753955",
            "telephone_number": "770-992-7620",
            "fax_number": "770-992-8262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 E FREEWAY DR SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300945965",
            "telephone_number": "770-922-7906"
        }
    ],
    "practiceLocations": [
        {
            "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": "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": "4320 Suwanee Dam Rd Ste 2100",
            "address_purpose": "LOCATION",
            "city": "Suwanee",
            "state": "GA",
            "postal_code": "300241949",
            "country_code": "US",
            "telephone_number": "770-614-8577",
            "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": "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": "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": "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": "FELOUZIS",
        "first_name": "EMILY",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-15",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003448",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conyers, GA

Sources for this page

Verify at the official NPI Registry.