GWINNETT EYE CLINIC
NPI 1619093531
Optometrist in Duluth, GA

Q: What is Gwinnett Eye Clinic's NPI number?

The NPI number for Gwinnett Eye Clinic is 1619093531. It was assigned to this organization in the NPPES registry on March 22, 2007.

Q: What is Gwinnett Eye Clinic's specialty?

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

Active since March 22, 2007

3455 PEACHTREE INDUSTRIAL BLVD, SUITE 845, DULUTH, GA 30096(770) 476-3606(770) 476-2818 Get Directions Write a Review

NPPES record last updated: February 25, 2009. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Gwinnett Eye Clinic NPPES

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

GWINNETT EYE CLINIC (NPI 1619093531) is a healthcare organization registered as an optometrist in Duluth, Georgia and active in the NPI registry since March 2007. The organization lists Karen E Pitts, Mgn, as its authorized official.

NPPES Registry Identity

NPI1619093531

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameGWINNETT EYE CLINIC

Location Address3455 PEACHTREE INDUSTRIAL BLVD, SUITE 845Duluth, GA 30096-6501

Mailing Address3455 Peachtree Industrial Blvd, Suite 845Duluth, GA 30096-6501 · (770) 476-3606 · Fax (770) 476-2818

Phone(770) 476-3606

Fax(770) 476-2818

Organization SubpartNo

Authorized OfficialKaren E PittsMgn · (770) 476-3606

Enumeration DateMarch 22, 2007

Last NPPES UpdateFebruary 25, 2009

✔ NPI 1619093531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed · OPT000841

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.

3455 PEACHTREE INDUSTRIAL BLVD, Duluth, GA 30096

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Other Identifiers 4

Medicare PIN55435554SAGA

Medicare NSC0842540001GA

Medicaid00147672CGA

Medicare UPINT86987GA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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)

Gwinnett Eye Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Gwinnett Eye Clinic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Phillip Johnson, O.D.

Optometry

NPI 1184703464

3455 PEACHTREE INDUSTRIAL BLVD SUITE 845
Duluth, GA 30096

(770) 476-3606

✔ PECOS✔ Accepts MedicareSame 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 Gwinnett Eye Clinic's NPI number?

The NPI number for Gwinnett Eye Clinic is 1619093531. It was assigned to this organization in the NPPES registry on March 22, 2007.

Where is Gwinnett Eye Clinic located?

Gwinnett Eye Clinic is located at 3455 Peachtree Industrial Blvd Suite 845, Duluth, GA 30096. The listed phone number is (770) 476-3606.

What is Gwinnett Eye Clinic's specialty?

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

Is Gwinnett Eye Clinic enrolled in Medicare?

Yes. Gwinnett Eye Clinic is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Gwinnett Eye Clinic?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Gwinnett Eye Clinic. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Gwinnett Eye Clinic accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Gwinnett Eye Clinic 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 Gwinnett Eye Clinic was last updated on February 25, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.