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DAHYUN JI OD
NPI 1417683673
Optometrist in Atlanta, GA

Active since July 28, 2022PECOS Enrolled
96.55/100
CMS Quality Rating
1100 JOHNSON FERRY RD NE #108, ATLANTA, GA 30342(404) 531-9988 Get Directions Write a Review

NPPES record last updated: July 28, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dahyun Ji Od NPPES

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

DAHYUN JI OD (NPI 1417683673) is an individual optometrist in Atlanta, Georgia, licensed in Georgia (OPT003449) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417683673
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDAHYUN JICredential: OD
Location Address1100 JOHNSON FERRY RD NE #108Atlanta, GA 30342
Mailing Address1100 Johnson Ferry Rd Ne #108Atlanta, GA 30342
Phone(404) 531-9988
Sole ProprietorYes
Enumeration DateJuly 28, 2022
NPPES CertifiedJuly 28, 2022
✔ NPI 1417683673 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 · OPT003449
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.

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 Louisiana, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dahyun Ji Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Dahyun Ji reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Russell D Springer PC
Optometrist
270 HAWTHORNE AVE
Athens, GA 30606
  • Reassigned Medicare billing, Georgia enrollment
  • 6 clinicians in this Medicare group
NPI 1841593175 (706) 543-3599

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

Areas of Expertise CMS Part B claims 2

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 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.
23 services16 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30342 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

96.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.06
Promoting Interoperability100
Improvement Activities40
Cost94.43

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 Dahyun Ji's NPI number?

The NPI number for Dahyun Ji is 1417683673. It was assigned to this individual provider in the NPPES registry on July 28, 2022.

Where is Dahyun Ji located?

Dahyun Ji practices at 1100 Johnson Ferry Rd NE #108, Atlanta, GA 30342. The listed phone number is (404) 531-9988.

What is Dahyun Ji's specialty?

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

Is Dahyun Ji enrolled in Medicare?

Yes. Dahyun Ji is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Dahyun Ji's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dahyun Ji reassigns Medicare benefits to Russell D Springer PC (Athens, GA). The 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 Dahyun Ji's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dahyun Ji accept?

Health plans from Anthem Blue Cross and Blue Shield, 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 Dahyun Ji 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 Dahyun Ji was last updated on July 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.