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NASH DITMETAROJ OD
NPI 1730520321
Optometrist in Jonesboro, GA

Active since July 10, 2013PECOS EnrolledAccepts Medicare Assignment
2400 MOUNT ZION PKWY, KAISER PERMANENTE SOUTHWOOD MEDICAL CENTER, JONESBORO, GA 30236(678) 906-3173 Get Directions Write a Review

NPPES record last updated: January 10, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jan 10, 2022, Feb 14, 2017 (2 updates tracked since 2017).

About Nash Ditmetaroj Od NPPES

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

NASH DITMETAROJ OD (NPI 1730520321) is an individual optometrist in Jonesboro, Georgia, licensed in Georgia (OPT002753) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS and is a graduate of Indiana University - School Of Optometry (2013).

NPPES Registry Identity

NPI1730520321
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameNASH DITMETAROJCredential: OD
Location Address2400 MOUNT ZION PKWY, KAISER PERMANENTE SOUTHWOOD MEDICAL CENTERJonesboro, GA 30236-2500
Mailing Address3495 Piedmont Rd Ne, Nine Piedmont CenterAtlanta, GA 30305-1717 · (404) 504-5678
Phone(678) 906-3173
Sole ProprietorNo
Medical School CMSIndiana University - School Of OptometryGraduated 2013
Enumeration DateJuly 10, 2013
Last NPPES UpdateJanuary 10, 20222 updates tracked since enumeration
✔ NPI 1730520321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in GA · OPT002753✔ Licensed in GA · 0002753
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.
2400 MOUNT ZION PKWY, Jonesboro, GA 30236
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nash Ditmetaroj Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082830997
PECOS Enrollment IDI20140730001666
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
28 services24 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30236 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 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. EMILY KING DESCHLER M.D.
Ophthalmology
2400 MOUNT ZION PKWY, KRUISER PERMANENTE SOUTHWOOD MEDICAL CENTER
JONESBORO, GA 30236
Clayton County (614) 293-8116
DR. SYLVIA E MORRIS MD
Internal Medicine
2400 MOUNT ZION PKWY, KAISER PERMANENTE SOUTHWOOD COMPREHENSIVE MEDICAL CENTE
JONESBORO, GA 30236
Clayton County (770) 603-3649
HANNAH YAEL PAULL
Psychologist
2400 MOUNT ZION PKWY
JONESBORO, GA 30236
Clayton County (404) 375-3328
SHAWN G KASER MD
Internal Medicine (Cardiovascular Disease)
2400 MOUNT ZION PKWY, KAISER PERMANENTE SOUTHWOOD MEDICAL CENTER
JONESBORO, GA 30236
Clayton County (574) 232-5928
BOYEDE FRANKLIN ADEMODI M.D
Family Medicine (Adult Medicine)
2400 MOUNT ZION PKWY, DEPARTMENT OF INTERNAL MEDICINE
JONESBORO, GA 30236
Clayton County (770) 603-3667
ERIC GUERRA RPH
Pharmacist (Ambulatory Care)
2400 MOUNT ZION PKWY
JONESBORO, GA 30236
Clayton County (770) 603-3511
KAREN L. WOODS CNM
Advanced Practice Midwife
2400 MOUNT ZION PKWY
JONESBORO, GA 30236
Clayton County (404) 365-0966
KAYLA RANDLE PHARMD
Pharmacist (Oncology)
2400 MOUNT ZION PKWY, SUITE 116
JONESBORO, GA 30236
Clayton County (770) 603-4265

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 Nash Ditmetaroj's NPI number?

The NPI number for Nash Ditmetaroj is 1730520321. It was assigned to this individual provider in the NPPES registry on July 10, 2013.

Where is Nash Ditmetaroj located?

Nash Ditmetaroj practices at 2400 Mount Zion Pkwy Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236. The listed phone number is (678) 906-3173.

What is Nash Ditmetaroj's specialty?

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

Is Nash Ditmetaroj enrolled in Medicare?

Yes. Nash Ditmetaroj is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Nash Ditmetaroj was last updated on January 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.