Woodstock Optometry, P.C.
NPI 1417477902 · Optometrist · Woodstock, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Woodstock Optometry, P.C. is a Optometrist organization in Woodstock, GA (NPI 1417477902).
Provider details
- NPI number
- 1417477902
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Jonathan Chao, Optometrist(404) 556-7656
- License
- OPT002756 (GA)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 5947 Holly Springs Pkwy Ste 305Woodstock, GA 30188-2449Phone: (470) 995-2020
Registry dates
- Enumerated
- 2017-06-26
- Last updated
- 2022-07-21
- Certified
- 2022-06-15
Frequently asked questions
- What is Woodstock Optometry, P.C.'s NPI number?
- Woodstock Optometry, P.C.'s National Provider Identifier (NPI) is 1417477902, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Woodstock Optometry, P.C.?
- Woodstock Optometry, P.C. is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Woodstock Optometry, P.C. located?
- Woodstock Optometry, P.C.'s practice location on file with NPPES is 915 Ridgewalk Pkwy Ste 425, Woodstock, GA 30188-0119.
- What is Woodstock Optometry, P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Woodstock Optometry, P.C. is (770) 592-7413.
- Does Woodstock Optometry, P.C. accept Medicare?
- Woodstock Optometry, P.C. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Woodstock Optometry, P.C.?
- The authorized official listed on Woodstock Optometry, P.C.'s NPPES record is Jonathan Chao, Optometrist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Woodstock Optometry, P.C.'s NPI active?
- Yes — Woodstock Optometry, P.C.'s NPI (1417477902) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.