Individual provider Active NPI

Kristi Ranice Merritt, O.D.

  • Optometrist
  • Atlanta, GA
National Provider Identifier
1992994123
Registry record updated Aug 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT002318 Issued in GA
Practice address
650 North Ave NE Ste 103
Atlanta, GA 30308-2749
Phone
(404) 875-2766
NPI assigned
Oct 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT002318 GA Primary

Addresses

Primary practice location

650 North Ave NE Ste 103
Atlanta, GA 30308-2749

Mailing address

1875 Harrison CT NE
Atlanta, GA 30329-2764
Phone (404) 668-4485

Other identifiers 1

IdentifierTypeStateIssuer
837023997FMedicaidGA

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
I20091005000282 GA Practitioner - Optometry 9436295599 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Depoe Eye Center PCGroup PAC ID 8224927702, 14 clinicians

Practice addresses (Care Compare)

550 Eagles Landing Pkwy
Suite 208
Stockbridge, GA 30281-9082
Phone (770) 474-1237

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT002318GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ga Doctors of Optometry LLC Optometrist CurrentSince Dec 7, 2024 Accepting new patients
Ford Family Eye Care, P.C. Optometrist CurrentSince Jan 10, 2011 Accepting new patients
Ga Doctors of Optometry LLC Optometrist CurrentSince Dec 7, 2024 Accepting new patients
Depoe Eye Center PC Optometrist CurrentSince Oct 1, 2025 Accepting new patients
Merritt Eye Care and Associates Optometrist CurrentSince Jul 3, 2024 Accepting new patients

Locations

2901 Clairmont Rd NE
Brookhaven, GA 30329
Phone (404) 325-1311

1735 S Highway 27
Carrollton, GA 30117
Phone (770) 214-7310

50 Main Street Market Pl SE
Ste 100
Cartersville, GA 30121
Phone (770) 382-6379

300 N Main St
Ste 301
Jonesboro, GA 30236
Phone (770) 603-0063

110 Southpoint Blvd
McDonough, GA 30253
Phone (770) 228-2020

550 Eagles Landing Pkwy
Ste 208
Stockbridge, GA 30281
Phone (770) 415-8982

600 Highway 61
Villa Rica, GA 30180
Phone (770) 459-8733

1411 Falls Ave E
Ste 105
Twin Falls, ID 83301
Phone (208) 736-2020

Organizations & group practices 5

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": "1193184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597968000000",
    "number": "1992994123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 HARRISON CT NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303292764",
            "telephone_number": "404-668-4485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 NORTH AVE NE STE 103",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082749",
            "telephone_number": "404-875-2766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRITT",
        "first_name": "KRISTI",
        "middle_name": "RANICE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-24",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "837023997F",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.