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STONE MOUNTAIN EYE CENTER
NPI 1528228616
Clinic/Center in Stone Mountain, GA

Active since June 11, 2008
1525 E PARK PLACE BLVD STE 1800, STONE MOUNTAIN, GA 30087(770) 498-3434(770) 498-3440 Get Directions Write a Review

NPPES record last updated: April 28, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Stone Mountain Eye Center NPPES

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

STONE MOUNTAIN EYE CENTER (NPI 1528228616) is a healthcare organization registered as a clinic/center in Stone Mountain, Georgia and active in the NPI registry since June 2008. The organization lists Elizabeth Sobanjo, President, as its authorized official.

NPPES Registry Identity

NPI1528228616
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSTONE MOUNTAIN EYE CENTER
Location Address1525 E PARK PLACE BLVD STE 1800Stone Mountain, GA 30087-6403
Mailing Address1525 E Park Place Blvd Ste 1800Stone Mountain, GA 30087-6403 · (770) 498-3434 · Fax (770) 498-3440
Phone(770) 498-3434
Fax(770) 498-3440
Organization SubpartNo
Authorized OfficialElizabeth SobanjoPresident · (770) 498-3434
Enumeration DateJune 11, 2008
Last NPPES UpdateApril 28, 2016
✔ NPI 1528228616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in GA · 1538
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1525 E PARK PLACE BLVD STE 1800, Stone Mountain, GA 30087
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Other Identifiers 2

Medicaid0009004134GA
Medicare PIN202G-703-432GA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama 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)

Stone Mountain Eye Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

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

Clinicians, nearest first (2)

Elizabeth Sobanjo, O.D
Optometry
NPI 1548313851
1525 E PARK PLACE BLVD SUITE 1800
Stone Mountain, GA 30087
(770) 498-3434
✔ PECOS✔ Accepts MedicareSame address
Kofi Oteng Gyang, O.D
Optometry
NPI 1144373267
1525 E PARK PLACE BLVD #1100,
Stone Mountain, GA 30087
(770) 498-3434
✔ PECOSSame 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 Stone Mountain Eye Center's NPI number?

The NPI number for Stone Mountain Eye Center is 1528228616. It was assigned to this organization in the NPPES registry on June 11, 2008.

Where is Stone Mountain Eye Center located?

Stone Mountain Eye Center is located at 1525 E Park Place Blvd Ste 1800, Stone Mountain, GA 30087. The listed phone number is (770) 498-3434.

What is Stone Mountain Eye Center's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Stone Mountain Eye Center enrolled in Medicare?

Yes. Stone Mountain Eye Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Stone Mountain Eye Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Stone Mountain Eye Center. 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 Stone Mountain Eye Center accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 8 other insurers list Stone Mountain Eye Center 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 Stone Mountain Eye Center was last updated on April 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.