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KENNETH DAVID CORNWALL OD
NPI 1629851886
Optometrist in Smyrna, GA

Active since August 14, 2023PECOS Enrolled
3240 S COBB DR SE STE 1000, SMYRNA, GA 30080(770) 701-3051 Get Directions Write a Review

NPPES record last updated: August 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kenneth David Cornwall Od NPPES

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

KENNETH DAVID CORNWALL OD (NPI 1629851886) is an individual optometrist in Smyrna, Georgia, licensed in Georgia (OPT003524) and active in the NPI registry since August 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1629851886
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameKENNETH DAVID CORNWALLCredential: OD
Location Address3240 S COBB DR SE STE 1000Smyrna, GA 30080-4112
Mailing Address2735 Paces Ferry Rd Se Apt 413Atlanta, GA 30339-7639 · (404) 783-2208
Phone(770) 701-3051
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 14, 2023
NPPES CertifiedAugust 14, 2023
✔ NPI 1629851886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in GA · OPT003524
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.
3240 S COBB DR SE STE 1000, Smyrna, GA 30080
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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, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenneth David Cornwall Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7618464033
PECOS Enrollment IDI20251017001010
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30080 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.

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 Kenneth Cornwall's NPI number?

The NPI number for Kenneth Cornwall is 1629851886. It was assigned to this individual provider in the NPPES registry on August 14, 2023.

Where is Kenneth Cornwall located?

Kenneth Cornwall practices at 3240 S Cobb Dr SE Ste 1000, Smyrna, GA 30080. The listed phone number is (770) 701-3051.

What is Kenneth Cornwall's specialty?

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

Is Kenneth Cornwall enrolled in Medicare?

Yes. Kenneth Cornwall is registered in the Medicare PECOS enrollment system.

What insurance does Kenneth Cornwall accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 5 other insurers list Kenneth Cornwall 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 Kenneth Cornwall was last updated on August 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.