P Praxis·MD
● Active Type 1 · Individual

Shundale Thomas Mixon, OD

Optometrist·Suwanee, GA· NPI 1013403088 · Enumerated 2018 · 7 years on NPI
Mixon is 1 of 36 optometrist providers in Suwanee and 1 of 2375 in Georgia.
NPI age
7 years
Enumerated 2018-07-02
Primary specialty
Optometrist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-10-04
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 2375 active optometrist providers in Georgia.

NPI age
7 years
↓ 9 yr below median (16 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
15% of peers hold subspecialties

NPI lifetime · 2018 → 2026

2018-07Enumerated in NPPES
2018 2026

Where they practice

Practice location
1300 Peachtree Industrial Blvd Ste 1206
Suwanee, GA 300244550
📞 3343180713
Mailing address
1300 Peachtree Industrial Blvd Ste 1206
Suwanee, GA 300244550
📞 7707832162fax 7707832165

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
2900 Peachtree Rd Nw Ste 301
Atlanta, GA 303052193
📞 6362004393 x3044
Location 3
8400 Holcomb Bridge Rd Ste 440
Alpharetta, GA 300221837
📞 6362004393 x3044

Specialties

  • Optometrist Primary
    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...
    GA license #OPT003111 taxonomy 152W00000X

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

Recently enumerated nearby: 1 new optometrist provider has been added in Suwanee in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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