Gwinnett Pediatric & Adult Eye Center
NPI 1578210589 · Optometrist · Suwanee, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Gwinnett Pediatric & Adult Eye Center is a Optometrist organization in Suwanee, GA (NPI 1578210589).
Provider details
- NPI number
- 1578210589
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Shundale Mixon, Owner/Od(770) 783-2162
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
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2022-03-09
- Last updated
- 2023-10-04
- Certified
- 2023-10-04
Frequently asked questions
- What is Gwinnett Pediatric & Adult Eye Center's NPI number?
- Gwinnett Pediatric & Adult Eye Center's National Provider Identifier (NPI) is 1578210589, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Gwinnett Pediatric & Adult Eye Center?
- Gwinnett Pediatric & Adult Eye Center is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Gwinnett Pediatric & Adult Eye Center located?
- Gwinnett Pediatric & Adult Eye Center's practice location on file with NPPES is 1300 Peachtree Industrial Blvd Ste 1206, Suwanee, GA 30024-4550.
- What is Gwinnett Pediatric & Adult Eye Center's phone number?
- The practice phone number listed in the NPPES registry for Gwinnett Pediatric & Adult Eye Center is (334) 318-0713.
- Does Gwinnett Pediatric & Adult Eye Center accept Medicare?
- Gwinnett Pediatric & Adult Eye Center 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 Gwinnett Pediatric & Adult Eye Center?
- The authorized official listed on Gwinnett Pediatric & Adult Eye Center's NPPES record is Shundale Mixon, Owner/Od. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Gwinnett Pediatric & Adult Eye Center's NPI active?
- Yes — Gwinnett Pediatric & Adult Eye Center's NPI (1578210589) is active in the NPPES registry as of the last update on 2023-10-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.