Individual provider Active NPI

Amy Patel

  • Optometrist
  • Woodstock, GA
National Provider Identifier
1942824156
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT003626 Issued in GA
Practice address
1010 Wyngate Pkwy Ste 201
Woodstock, GA 30189-6990
Phone
(770) 926-2858
Fax
(770) 926-5106
NPI assigned
Jun 3, 2020
Last updated
Aug 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT003626 GA Primary

Addresses

Primary practice location

1010 Wyngate Pkwy Ste 201
Woodstock, GA 30189-6990

Mailing address

1010 Wyngate Pkwy Ste 201
Woodstock, GA 30189-6990
Phone (770) 926-2858

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20201007002727 AL Practitioner - Optometry 7315366572 Reassigns benefits to 1 organization
I20250217000359 GA Practitioner - Optometry 7315366572 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Steven J Keith OD PCGroup PAC ID 9335482645, 4 clinicians

Practice addresses (Care Compare)

1010 Wyngate Pkwy
Suite 201
Woodstock, GA 30189-6990
Phone (770) 926-2858

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT003626GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecare Associates, Inc. Optometrist CurrentSince Aug 5, 2020 Accepting new patients
Steven J Keith OD PC Optometrist CurrentSince Nov 12, 2024 Accepting new patients
Eyecare Associates, Inc. Optometrist Current Accepting new patients
Eyecare Associates, Inc. Optometrist CurrentSince Aug 5, 2020 Accepting new patients

Locations

7880 Old Madison Pike
Madison, AL 35758
Phone (256) 772-8711

801 Applejack Blvd
Northport, AL 35473
Phone (205) 333-0016

1010 Wyngate Pkwy
Ste 201
Woodstock, GA 30189
Phone (770) 926-2858

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, 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": "1591142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1942824156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 WYNGATE PKWY STE 201",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301896990",
            "telephone_number": "770-926-2858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 WYNGATE PKWY STE 201",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301896990",
            "telephone_number": "770-926-2858",
            "fax_number": "770-926-5106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "AMY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-03",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

Verify at the official NPI Registry.