Stephania Aleshk Carreno, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT003420 Issued in GA

Practice address

2030 Cumming Hwy Ste 106
Canton, GA 30115-8009

Phone

(678) 493-2220

NPI assigned

Jun 27, 2022

Last updated

Jun 27, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Southern California College of Optometry, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Infocus Eye Care, IncGroup PAC ID 0345594362, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Infocus Eye Care, Inc.

  dba Arbor Place Eye Care

  • Optometrist
  • Douglasville, GA
  • NPI 1023517471
  Medicare reassignment Care Compare group NPD
• Ga Doctors of Optometry LLC

  • Optometrist
  • Lithonia, GA
  • NPI 1174105936
  Medicare reassignment NPD
• Ga Doctors of Optometry LLC

  • Eyewear Supplier
  • Columbus, GA
  • NPI 1013599745

  Optometrist

  NPD
• America's Best Contacts & Eyeglasses

  • Optician
  • Canton, GA
  • NPI 1447597992

  Single Specialty

  NPD (past)
• Perimeter Vision Care, LLC

  dba Atlanta Eye Group

  • Optometrist
  • Atlanta, GA
  • NPI 1811527971
  NPD (past)

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

{
    "created_epoch": "1656288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656288000000",
    "number": "1952033128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1396 CHATLEY WAY",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301885527",
            "telephone_number": "770-871-9994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 CUMMING HWY STE 106",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301158009",
            "telephone_number": "678-493-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRENO",
        "first_name": "STEPHANIA",
        "middle_name": "ALESHK",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-27",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Coker Cantrell, MD
• Carl C Capelouto, M.D.
• Tatiana Cardaniuc, PA-C
• Douglas M Cardillo, M.D.
• John W Carey, D.M.D.
• Garry Wayne Carriker II, CADC-II
• Jennifer Carson, LPC
• Justin Carson, LPC, NCC
• Richard Michael Carter
• Stacy Ann Cartmell

• Optometrist in Canton, GA
• Providers in Canton, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.