P Praxis·MD
● Active Type 1 · Individual

DR. Jennifer A Dattolo, O.D.

Optometrist·Woodstock, GA· NPI 1962596627 · Enumerated 2006 · 19 years on NPI
Dattolo is 1 of 1 optometrist providers in Woodstock and 1 of 18 in Georgia.
NPI age
19 years
Enumerated 2006-10-03
Primary specialty
Optometrist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2016-06-09
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 18 active optometrist providers in Georgia.

NPI age
19 years
≈ at median (19 yr)
State licenses
1 state
11% of peers hold multiple states
Subspecialties
0
16% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-10Enumerated in NPPES
2006 2026

Where they practice

Practice location
1075 Buckhead Xing, Suite 130
Woodstock, GA 301894262
📞 7707025996
Mailing address
1075 Buckhead Xing, Suite 130
Woodstock, GA 301894262
📞 7707025996

Specialties

  • Optometrist Primary
    Optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific...
    GA license #001878 taxonomy 152WV0400X

Practice context

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

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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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