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OMNI EYE SERVICES
NPI 1629120928
Ophthalmology in Atlanta, GA

Active since January 17, 2007
5505 PEACHTREE DUNWOODY RD NE, SUITE 300, ATLANTA, GA 30342(404) 257-0814(404) 843-8521 Get Directions Write a Review

NPPES record last updated: December 9, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 9, 2022, Nov 4, 2020 (2 updates tracked since 2020).

About Omni Eye Services NPPES

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

OMNI EYE SERVICES (NPI 1629120928) is a healthcare organization registered as an ophthalmology in Atlanta, Georgia and active in the NPI registry since January 2007. The organization lists Jennifer Boyd Baldock, Officer And Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1629120928
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameSOUTHEAST EYE SURGERY CENTER, PC
Location Address5505 PEACHTREE DUNWOODY RD NE, SUITE 300Atlanta, GA 30342-1705
Mailing Address5505 Peachtree Dunwoody Rd Ne, Suite 300Atlanta, GA 30342-1705 · (404) 257-0814 · Fax (404) 843-8521
Phone(404) 257-0814
Fax(404) 843-8521
Organization SubpartNo
Authorized OfficialJennifer Boyd BaldockOfficer And Authorized Official · (615) 234-5954
Enumeration DateJanuary 17, 2007
Last NPPES UpdateDecember 9, 20222 updates tracked since enumeration
NPPES CertifiedDecember 9, 2022
✔ NPI 1629120928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
5505 PEACHTREE DUNWOODY RD NE, Atlanta, GA 30342
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Other Names 1

Doing Business AsOmni Eye Services

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)

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

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Omni Eye Services, which bills Medicare for the services they deliver. Of these, 6 practice at this address. They are listed nearest first.

Clinicians, nearest first (7)

Khanh Hoang, OD
Optometry
NPI 1396421848
5505 PEACHTREE DUNWOODY RD STE 300
Atlanta, GA 30342
(404) 257-0814
✔ PECOS✔ Accepts MedicareSame address
Lawrence Woodard, M.D.
Ophthalmology
NPI 1790713931
5505 PEACHTREE DUNWOODY RD NE SUITE 300
Atlanta, GA 30342
(404) 257-0814
✔ PECOS✔ Accepts MedicareSame address
Arkadiy Yadgarov
Ophthalmology
NPI 1952677858
5505 PEACHTREE DUNWOODY RD SUITE300
Atlanta, GA 30342
(404) 257-0814
✔ PECOS✔ Accepts MedicareSame address
Niloufar Soltanian-Moffett, O.D.
Optometry
NPI 1366875122
5505 PEACHTREE DUNWOODY RD SUITE 300
Atlanta, GA 30342
(404) 257-0814
✔ PECOS✔ Accepts MedicareSame address
Paul Ajamian, O.D.
Optometry
NPI 1144265406
5505 PEACHTREE DUNWOODY RD NE STE 300
Atlanta, GA 30342
(404) 257-0814
✔ PECOS✔ Accepts MedicareSame address
Patrick Danaher, M.D
Ophthalmology
NPI 1801094990
5505 PEACHTREE DUNWOODY RD STE 300
Atlanta, GA 30342
(404) 257-0814
✔ PECOS✔ Accepts MedicareSame address
Priya Patel, M.D.
Ophthalmology
NPI 1043698749
550 1ST AVE
New York, NY 10016
(212) 263-5506
✔ PECOS✔ Accepts Medicare740 mi

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 Southeast Eye Surgery Center, PC's NPI number?

The NPI number for Southeast Eye Surgery Center, PC is 1629120928. It was assigned to this organization in the NPPES registry on January 17, 2007. The provider is doing business as Omni Eye Services.

Where is Southeast Eye Surgery Center, PC located?

Southeast Eye Surgery Center, PC is located at 5505 Peachtree Dunwoody Rd NE Suite 300, Atlanta, GA 30342. The listed phone number is (404) 257-0814.

What is Southeast Eye Surgery Center, PC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Southeast Eye Surgery Center, PC enrolled in Medicare?

Yes. Southeast Eye Surgery Center, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southeast Eye Surgery Center, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Southeast Eye Surgery Center, PC. 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. The largest specialties are Ophthalmology (4) and Optometry (3). Of these, 6 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Southeast Eye Surgery Center, PC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Southeast Eye Surgery Center, PC 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 Southeast Eye Surgery Center, PC was last updated on December 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.