Individual provider Active NPI

Karrie Sestak

  • Optometrist
  • Atlanta, GA
National Provider Identifier
1902597222
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT003526 Issued in GA
Practice address
1100 Johnson Fy Rd NE Ste 130
Atlanta, GA 30342-2130
Phone
(404) 953-4034
NPI assigned
May 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT003526 GA Primary

Addresses

Primary practice location

1100 Johnson Fy Rd NE Ste 130
Atlanta, GA 30342-2130

Mailing address

1512 Wallace St
Saint Paul, NE 68873-1008
Phone (308) 750-3931

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
I20231120002678 GA Practitioner - Optometry 3779931365 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eugene B Gabianelli MD and Assoc LLCGroup PAC ID 5193702512, 30 clinicians

Practice addresses (Care Compare)

1100 Johnson Ferry Rd
Suite 105
Atlanta, GA 30342-1733
Phone (404) 531-9988

130 Vann St NE
Suite 230
Marietta, GA 30060-7230
Phone (770) 425-1341

550 Peachtree St NE
Suite 1500
Atlanta, GA 30308-2248
Phone (404) 897-6810

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eugene B Gabianelli MD & Assoc LLC Optometrist CurrentSince Sep 16, 2023 Accepting new patients
Eugene B. Gabianelli, MD & Assoc. LLC CurrentSince Sep 16, 2023 Accepting new patients
Marietta Eye Clinic PA CurrentSince Jun 14, 2024 Accepting new patients
Marietta Eye Clinic PA Current Accepting new patients
Marietta Eye Clinic, PA Optometrist CurrentSince Jun 14, 2024 Accepting new patients

Locations

550 Peachtree St NE
Ste 1500
Atlanta, GA 30308
Phone (404) 897-6710

290 Merchants Sq
Ste I
Dallas, GA 30132
Phone (770) 445-8885

10080 Medlock Bridge Rd
Johns Creek, GA 30097
Phone (404) 897-6810

130 Vann St NE
Ste 230
Marietta, GA 30060
Phone (404) 425-1341

895 Canton Rd NE
Bldg 100
Marietta, GA 30060
Phone (770) 425-6167

211 Chicopee Dr NE
Ste 100
Marietta, GA 30060
Phone (770) 425-1341

1100 Johnson Fy Rd NE
Ste 130
Sandy Springs, GA 30342
Phone (404) 531-9988

1100 Johnson Fy Rd NE
Ste 108
Sandy Springs, GA 30342
Phone (404) 531-9988

120 Stonebridge Pkwy
Ste 415
Woodstock, GA 30189
Phone (404) 953-4044

500 Ross St
#15404
Pittsburgh, PA 15262

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1684281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1902597222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 WALLACE ST",
            "city": "SAINT PAUL",
            "state": "NE",
            "postal_code": "688731008",
            "telephone_number": "308-750-3931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 JOHNSON FY RD NE STE 130",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303422130",
            "telephone_number": "404-953-4034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SESTAK",
        "first_name": "KARRIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-17",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.