VICTORY EYECARE LLC
NPI 1164695045
Optometrist in Dacula, GA

Q: What is Victory Eyecare LLC's NPI number?

The NPI number for Victory Eyecare LLC is 1164695045. It was assigned to this organization in the NPPES registry on April 11, 2008.

Q: What is Victory Eyecare LLC's specialty?

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

Active since April 11, 2008

1342 AUBURN RD, DACULA, GA 30019(678) 482-1324 Get Directions Write a Review

NPPES record last updated: April 11, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Victory Eyecare Llc NPPES

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

VICTORY EYECARE LLC (NPI 1164695045) is a healthcare organization registered as an optometrist in Dacula, Georgia and active in the NPI registry since April 2008. The organization lists Kunle Emmanuel Oluwadare, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1164695045

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameVICTORY EYECARE LLC

Location Address1342 AUBURN RDDacula, GA 30019-1140

Mailing Address3592 Huddlestone LnBuford, GA 30519-4652 · (678) 482-1324

Phone(678) 482-1324

Organization SubpartNo

Authorized OfficialKunle Emmanuel OluwadareManaging Partner · (678) 482-1324

Enumeration DateApril 11, 2008

✔ NPI 1164695045 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 · OPT002345

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.

1342 AUBURN RD, Dacula, GA 30019

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Victory Eyecare Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Victory Eyecare LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Adekunle Oluwadare, OD MSC

Optometry

NPI 1215925078

1342 AUBURN RD
Dacula, GA 30019

(770) 237-8150

✔ PECOSSame address

Rajan Thomas, O.D.

Optometry

NPI 1972584308

1342 AUBURN RD STE 112
Dacula, GA 30019

(770) 237-8150

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Victory Eyecare LLC's NPI number?

The NPI number for Victory Eyecare LLC is 1164695045. It was assigned to this organization in the NPPES registry on April 11, 2008.

Where is Victory Eyecare LLC located?

Victory Eyecare LLC is located at 1342 Auburn Rd, Dacula, GA 30019. The listed phone number is (678) 482-1324.

What is Victory Eyecare LLC's specialty?

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

Is Victory Eyecare LLC enrolled in Medicare?

Yes. Victory Eyecare LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Victory Eyecare LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Victory Eyecare LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Victory Eyecare LLC accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee list Victory Eyecare LLC 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 Victory Eyecare LLC was last updated on April 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.