DR. MASTOUREH AHMADPOUR O.D.
NPI 1487938866
Optometrist - Corneal and Contact Management in Douglasville, GA

Active since October 04, 2011PECOS Enrolled
1550 ARBOR PLACE MALL, DOUGLASVILLE, GA 30135(404) 931-3304 Get Directions Write a Review

NPPES record last updated: October 4, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Mastoureh Ahmadpour O.d. NPPES

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

DR. MASTOUREH AHMADPOUR O.D. (NPI 1487938866) is an individual corneal and contact management provider in Douglasville, Georgia, licensed in Georgia (OPT002671) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487938866
Entity TypeIndividualFemale
Primary Taxonomy152WC0802X
Provider Legal NameDR. MASTOUREH AHMADPOURCredential: O.D.
Location Address1550 ARBOR PLACE MALLDouglasville, GA 30135-7108
Mailing Address1550 Arbor Place MallDouglasville, GA 30135-7108 · (404) 931-3304
Sole ProprietorNo
Enumeration DateOctober 4, 2011
✔ NPI 1487938866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometrist · Corneal and Contact ManagementEye and Vision Services Providers
Taxonomy Code152WC0802X
License✔ Licensed in GA · OPT002671
Definition
The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.
1550 ARBOR PLACE MALL, Douglasville, GA 30135

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mastoureh Ahmadpour O.d. 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 Reassignments

2

Medicare enrollment records show Mastoureh Ahmadpour reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Optometrist
400 ERNEST W BARRETT PKWY NW, SUITE 297
Kennesaw, GA 30144
  • Reassigned Medicare billing, Georgia enrollment
  • 8 clinicians in this Medicare group
Optometrist
2929 TURNER HILL RD, SP. 2625
Lithonia, GA 30038
  • Reassigned Medicare billing, Georgia enrollment
  • Medicare enrollment name: Mark Lynn Od And Associates PC
  • 50 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30135 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.

Eyewear Supplier
1550 ARBOR PLACE MALL
DOUGLASVILLE, GA 30135
Eyewear Supplier
1550 ARBOR PLACE MALL
DOUGLASVILLE, GA 30135

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 Mastoureh Ahmadpour's NPI number?

The NPI number for Mastoureh Ahmadpour is 1487938866. It was assigned to this individual provider in the NPPES registry on October 4, 2011.

Where is Mastoureh Ahmadpour located?

Mastoureh Ahmadpour practices at 1550 Arbor Place Mall, Douglasville, GA 30135. The listed phone number is (404) 931-3304.

What is Mastoureh Ahmadpour's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Corneal and Contact Management, with taxonomy code 152WC0802X.

Is Mastoureh Ahmadpour enrolled in Medicare?

Yes. Mastoureh Ahmadpour is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mastoureh Ahmadpour's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mastoureh Ahmadpour reassigns Medicare benefits to 2 organizations: Dr. Bruce E. Reid And Associates, PC (Kennesaw, GA) and Mark Lynn Od & Associates, PC (Lithonia, GA). Each 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 Mastoureh Ahmadpour's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mastoureh Ahmadpour accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 10 other insurers list Mastoureh Ahmadpour 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 Mastoureh Ahmadpour was last updated on October 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.