Individual provider Active NPI

Cynthia A Cieszko, O.D.

  • Optometrist
  • Atlanta, GA
National Provider Identifier
1902895980
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
GA1076T Issued in GA
Practice address
4400 Ashford Dunwoody Rd NE
1280 Perimeter Mall
Atlanta, GA 30346-1518
Phone
(770) 396-8070
Fax
(770) 698-8821
NPI assigned
Oct 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X GA1076T GA Primary

Addresses

Primary practice location

4400 Ashford Dunwoody Rd NE
1280 Perimeter Mall
Atlanta, GA 30346-1518

Mailing address

4633 Village Dr
Dunwoody, GA 30338-5742
Phone (770) 457-3618

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
I20060313000643 GA Practitioner - Optometry 7012924202 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Perimeter Vision Care LLCGroup PAC ID 0547685810, 18 clinicians

Practice addresses (Care Compare)

4400 Ashford Dunwoody Rd NE
Suite 1280
Atlanta, GA 30346-1546
Phone (770) 727-0772

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
GA1076TGAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Perimeter Vision Care, LLC Optometrist CurrentSince Apr 24, 2020 Accepting new patients
Perimeter Vision Care, LLC Optometrist CurrentSince Apr 24, 2020 Accepting new patients

Locations

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

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

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

200 Ashford Ctr N
Ste 305
Atlanta, GA 30338

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

Organizations & group practices 3

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": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1902895980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4633 VILLAGE DR",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303385742",
            "telephone_number": "770-457-3618",
            "fax_number": "770-698-8821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 ASHFORD DUNWOODY RD NE",
            "address_2": "1280 PERIMETER MALL",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303461518",
            "telephone_number": "770-396-8070",
            "fax_number": "770-698-8821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIESZKO",
        "first_name": "CYNTHIA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-21",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "GA1076T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.