MIRA KALMAN SIVAN OD
NPI 1407013840
Optometrist in Stone Mountain, GA

Active since May 22, 2008PECOS EnrolledAccepts Medicare Assignment
5462 MEMORIAL DR, SUITE 101, STONE MOUNTAIN, GA 30083(404) 296-6000 Get Directions Write a Review

NPPES record last updated: May 22, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mira Kalman Sivan Od NPPES

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

MIRA KALMAN SIVAN OD (NPI 1407013840) is an individual optometrist in Stone Mountain, Georgia, licensed in Georgia (OPT002413) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (2005).

NPPES Registry Identity

NPI1407013840
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameMIRA KALMAN SIVANCredential: OD
Location Address5462 MEMORIAL DR, SUITE 101Stone Mountain, GA 30083-3239
Mailing Address225 Creek Run CtAlpharetta, GA 30005-4374 · (770) 752-9501
Sole ProprietorYes
Medical School CMSNew England College Of OptometryGraduated 2005
Enumeration DateMay 22, 2008
NPI 1407013840 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 · OPT002413
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.
5462 MEMORIAL DR, Stone Mountain, GA 30083

Accepted 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

Mira Kalman Sivan Od 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 ID1355412776
PECOS Enrollment IDI20080612000394
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

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.

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.
16 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30083 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 11

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

Speech-Language Pathologist
5462 MEMORIAL DR, SUITE 203
STONE MTN, GA 30083
Physical Therapist
5462 MEMORIAL DR, SUITE 203
STONE MTN, GA 30083
Nurse Practitioner (Family)
5462 MEMORIAL DR
STONE MOUNTAIN, GA 30083
Family Medicine
5462 MEMORIAL DR, SUITE 202
STONE MOUNTAIN, GA 30083
Dentist
5462 MEMORIAL DR
STONE MOUNTAIN, GA 30083
Family Medicine
5462 MEMORIAL DR, SUITE 202
STONE MOUNTAIN, GA 30083
Family Medicine
5462 MEMORIAL DR, SUITE 202
STONE MOUNTAIN, GA 30083
Physical Therapist
5462 MEMORIAL DR, SUITE 203
STONE MOUNTAIN, GA 30083

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 Mira Sivan's NPI number?

The NPI number for Mira Sivan is 1407013840. It was assigned to this individual provider in the NPPES registry on May 22, 2008.

Where is Mira Sivan located?

Mira Sivan practices at 5462 Memorial Dr Suite 101, Stone Mountain, GA 30083. The listed phone number is (404) 296-6000.

What is Mira Sivan's specialty?

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

Is Mira Sivan enrolled in Medicare?

Yes. Mira Sivan 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 Mira Sivan accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Mira Sivan 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 Mira Sivan was last updated on May 22, 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.