P Praxis·MD
● Active Type 1 · Individual

Vladislav Ivanchenko, OD

Optometrist·Canton, GA· NPI 1497210009 · Enumerated 2019 · 7 years on NPI
Ivanchenko is 1 of 30 optometrist providers in Canton and 1 of 2375 in Georgia.
NPI age
7 years
Enumerated 2019-02-07
Primary specialty
Optometrist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-07-18
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

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 · 2019 → 2026

2019-02Enumerated in NPPES
2019 2026

Where they practice

Practice location
2030 Cumming Hwy Ste 106
Canton, GA 301158009
📞 6784932220fax 6784934832
Mailing address
2002 Millington Ln
Jacksonville, FL 322461386

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 #OPT003096 taxonomy 152W00000X

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new optometrist provider has been added in Canton 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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