Active NPI
Gege Odion, O.D.
- Optometrist
- Decatur, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1402
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912188996 | Other | GA | GROUP NPI |
| 1952370876 | Other | GA | INDIVIDUAL NPI |
| 000727086A | Medicaid | GA |
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
Enrollment records 1
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
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1402 | GA | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr.Gege Odion PC | Optometrist | Current | 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.
-
- Optometrist
- Decatur, GA
- NPI 1174783252
-
- Eyewear Supplier
- Decatur, GA
- NPI 1912188996
-
- Clinic/Center
- Decatur, GA
- NPI 1770993743
-
- Optometrist
- Georgetown, SC
- NPI 1225084676
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; 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.