Individual provider Active NPI

Gege Odion, O.D.

  • Optometrist
  • Decatur, GA
National Provider Identifier
1952370876
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1402 Issued in GA
Practice address
2801 Candler Rd
Suite 66
Decatur, GA 30034-1427
Phone
(404) 244-8787
Fax
(404) 241-2248
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1402 GA Primary

Addresses

Primary practice location

2801 Candler Rd
Suite 66
Decatur, GA 30034-1427

Mailing address

4670 Riversound Dr
Snellville, GA 30039-8540
Phone (404) 244-8787

Other identifiers 3

IdentifierTypeStateIssuer
1912188996OtherGAGROUP NPI
1952370876OtherGAINDIVIDUAL NPI
000727086AMedicaidGA

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
I20060824000014 GA Practitioner - Optometry 9537162946 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2851 Candler Rd
Decatur, GA 30034-1416
Phone (404) 244-8787

2851 Candler Rd
Suite 205
Decatur, GA 30034-1418

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1402GAMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr.Gege Odion PC Optometrist CurrentSince Jul 1, 1994 Accepting new patients
Optiworld Vision Center, LLC Current Accepting new patients
LTC Eyecare Inc Optometrist Past Accepting new patients
Optiworld Medical & Vision Center, LLC Past Accepting new patients

Locations

2801 Candler Rd
Ste 66
Decatur, GA 30034
Phone (404) 244-8787

2851 Candler Rd
Decatur, GA 30034
Phone (404) 244-8787

2851 Candler Rd
Ste 205
Decatur, GA 30034
Phone (404) 244-8787

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211414400000",
    "number": "1952370876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4670 RIVERSOUND DR",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300398540",
            "telephone_number": "404-244-8787",
            "fax_number": "404-241-2248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 CANDLER RD",
            "address_2": "SUITE 66",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300341427",
            "telephone_number": "404-244-8787",
            "fax_number": "404-241-2248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODION",
        "first_name": "GEGE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2008-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "1402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1912188996",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1952370876",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000727086A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

Verify at the official NPI Registry.