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DR. RACHAEL SWEENEY O.D.
NPI 1427177146
Optometrist - Vision Therapy in Atlanta, GA

Active since March 28, 2007PECOS EnrolledAccepts Medicare Assignment
5380 ROSWELL RD NE, ATLANTA, GA 30342(404) 250-1680(404) 781-8100 Get Directions Write a Review

NPPES record last updated: February 25, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Rachael Sweeney O.d. NPPES

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

DR. RACHAEL SWEENEY O.D. (NPI 1427177146) is an individual vision therapy provider in Atlanta, Georgia, licensed in Georgia (1736) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (1997).

NPPES Registry Identity

NPI1427177146
Entity TypeIndividualFemale
Primary Taxonomy152WV0400X
Provider Legal NameDR. RACHAEL SWEENEYCredential: O.D.
Location Address5380 ROSWELL RD NEAtlanta, GA 30342-1916
Mailing Address5380 Roswell Rd NeAtlanta, GA 30342-1916 · (404) 250-1680 · Fax (404) 781-8100
Phone(404) 250-1680
Fax(404) 781-8100
Sole ProprietorNo
Medical School CMSNew England College Of OptometryGraduated 1997
Enumeration DateMarch 28, 2007
Last NPPES UpdateFebruary 25, 2008
✔ NPI 1427177146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometrist · Vision TherapyEye and Vision Services Providers
Taxonomy Code152WV0400X
License✔ Licensed in GA · 1736
Definition
Optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions.
5380 ROSWELL RD NE, Atlanta, GA 30342
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Other Identifiers 2

Medicare PIN41ZCDZKGA
Medicare UPINU88343GA

Accepted Insurance

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

Dr. Rachael Sweeney 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 ID749665529
PECOS Enrollment IDI20220914002869
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 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 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.
28 services28 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.
15 services11 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.

Other Providers at the Same Location NPPES 2

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

JUDY RENE' HAMBY MHS, OTR/L, BCN
Occupational Therapist
5380 ROSWELL RD NE
ATLANTA, GA 30342
Fulton County (404) 250-1680
INSIGHT EYECARE P.C.
Optometrist (Sports Vision)
5380 ROSWELL RD NE
ATLANTA, GA 30342
Fulton County (404) 250-1680

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 Rachael Sweeney's NPI number?

The NPI number for Rachael Sweeney is 1427177146. It was assigned to this individual provider in the NPPES registry on March 28, 2007.

Where is Rachael Sweeney located?

Rachael Sweeney practices at 5380 Roswell Rd NE, Atlanta, GA 30342. The listed phone number is (404) 250-1680.

What is Rachael Sweeney's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Vision Therapy, with taxonomy code 152WV0400X.

Is Rachael Sweeney enrolled in Medicare?

Yes. Rachael Sweeney 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 Rachael Sweeney 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 Rachael Sweeney 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 Rachael Sweeney was last updated on February 25, 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.