Individual provider Active NPI

Pamela Schagren, O.D.

  • Optometrist
  • Lithia Springs, GA
National Provider Identifier
1932331006
Registry record updated Mar 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT002470 Issued in GA
Practice address
880 Crestmark Dr
Ste 101
Lithia Springs, GA 30122-2646
Phone
(770) 948-0036
NPI assigned
Aug 21, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT002470 GA Primary

Addresses

Primary practice location

880 Crestmark Dr
Ste 101
Lithia Springs, GA 30122-2646

Mailing address

880 Crestmark Dr
Ste 101
Lithia Springs, GA 30122-2646
Phone (770) 948-0036

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
I20100324000668 GA Practitioner - Optometry 5698800084 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
A. Dylan Reach, OD, PCGroup PAC ID 9133252539, 4 clinicians

Practice addresses (Care Compare)

4900 Ivey Rd NW
Suite 12226
Acworth, GA 30101-4001
Phone (770) 974-3153

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
A. Dylan Reach, OD, PC Optometrist CurrentSince Mar 14, 2022 Accepting new patients
Tulman Eye Group, PC Optometrist CurrentSince Dec 21, 2009 Accepting new patients

Locations

4900 Ivey Rd NW
Ste 1226
Acworth, GA 30101
Phone (678) 279-1141

4900 Ivey Rd NW
Ste 12226
Acworth, GA 30101
Phone (770) 974-3153

880 Crestmark Dr
Lithia Springs, GA 30122

880 Crestmark Dr
Ste 101
Lithia Springs, GA 30122
Phone (770) 948-0036

Interoperability endpoints

  • Direct secure messaging: pshepard@tulmaneyegroup.eyefinity-direct.com

Organizations & group practices 2

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": "1250812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1932331006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 CRESTMARK DR",
            "address_2": "STE 101",
            "city": "LITHIA SPRINGS",
            "state": "GA",
            "postal_code": "301222646",
            "telephone_number": "770-948-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 CRESTMARK DR",
            "address_2": "STE 101",
            "city": "LITHIA SPRINGS",
            "state": "GA",
            "postal_code": "301222646",
            "telephone_number": "770-948-0036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAGREN",
        "first_name": "PAMELA",
        "name_prefix": "Ms.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-21",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lithia Springs, GA

Sources for this page

Verify at the official NPI Registry.