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NICOLE L MARDAK O.D.
NPI 1033551767
Optometrist in Marietta, GA

Active since July 23, 2013PECOS EnrolledAccepts Medicare Assignment
1545 POWERS FERRY RD SE, SUITE 240, MARIETTA, GA 30067(770) 952-6412(770) 953-2738 Get Directions Write a Review

NPPES record last updated: July 23, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicole L Mardak O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE L MARDAK O.D. (NPI 1033551767) is an individual optometrist in Marietta, Georgia, licensed in Georgia (OPT002772) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2013).

NPPES Registry Identity

NPI1033551767
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameNICOLE L MARDAKCredential: O.D.
Location Address1545 POWERS FERRY RD SE, SUITE 240Marietta, GA 30067-9412
Mailing Address1545 Powers Ferry Rd Se, Suite 240Marietta, GA 30067-9412 · (770) 952-6412 · Fax (770) 953-2738
Phone(770) 952-6412
Fax(770) 953-2738
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2013
Enumeration DateJuly 23, 2013
✔ NPI 1033551767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in GA · OPT002772
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
1545 POWERS FERRY RD SE, Marietta, GA 30067
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole L Mardak O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789826256
PECOS Enrollment IDI20130813000285
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
114 services113 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
87 services82 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
74 services52 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
68 services60 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
36 services34 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
21 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30067 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GRAY W SASS OD
Optometrist
1545 POWERS FERRY RD SE, STE 240
MARIETTA, GA 30067
Cobb County (770) 952-6412
GRAY W. SASS, O.D., FAMILY EYE CARE, LLC
Optometrist
1545 POWERS FERRY RD SE
MARIETTA, GA 30067
Cobb County (770) 952-6412
ONEOPTO GA 1 PLLC
Optometrist
1545 POWERS FERRY RD SE
MARIETTA, GA 30067
Cobb County (770) 952-6412
DR. JERRY EUGENE NUTT DDS
Dentist
1545 POWERS FERRY RD SE, 220
MARIETTA, GA 30067
Cobb County (770) 980-9404
JERRY E NUTT DDS, PC
Dentist (General Practice)
1545 POWERS FERRY RD SE, SUITE B
MARIETTA, GA 30067
Cobb County (770) 980-9860
RICHARD B LIPOSKY ORAL MAXILLOFACIAL
Dentist (Oral and Maxillofacial Surgery)
1545 POWERS FERRY RD SE, SUITE B
MARIETTA, GA 30067
Cobb County (770) 980-9860
DR. HEATHER ZUTAUT O.D.
Optometrist
1545 POWERS FERRY RD SE
MARIETTA, GA 30067
Cobb County (770) 952-6412
ANDREA JILL KELLEY
Dentist (General Practice)
1545 POWERS FERRY RD SE, SUITE B
MARIETTA, GA 30067
Cobb County (770) 980-9404

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Mardak's NPI number?

The NPI number for Nicole Mardak is 1033551767. It was assigned to this individual provider in the NPPES registry on July 23, 2013.

Where is Nicole Mardak located?

Nicole Mardak practices at 1545 Powers Ferry Rd SE Suite 240, Marietta, GA 30067. The listed phone number is (770) 952-6412.

What is Nicole Mardak's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Nicole Mardak enrolled in Medicare?

Yes. Nicole Mardak is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nicole Mardak accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Nicole Mardak as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicole Mardak was last updated on July 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.