Shundale Thomas Mixon, OD
Optometrist · Suwanee, GA
Shundale Thomas Mixon, OD is an optometrist with a practice address in Suwanee, Georgia, and NPI 1013403088, issued on Jul 2, 2018. Check the license (Georgia OPT003111, as entered in NPPES) with the Georgia board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Shundale Thomas Mixon
- Credential
- OD
- Primary taxonomy
- Optometrist 152W00000X
- License number
- OPT003111 GA
Self-reported in NPPES; status is on the state search - Practice location
- 1300 Peachtree Industrial Blvd Ste 1206, Suwanee, GA 30024
- Phone
- (334) 318-0713
- Enumerated
- Jul 2, 2018
- Record last updated
- Oct 4, 2023
- Medicare enrollment
- Enrolled (PECOS I20190520001460); accepts Medicare assignment
- Medical or professional school
- Nova Southeastern Univ College Of Dental Medicine, 2018
- Entity
- Type 1 · individual
8 nearest optometrist records → All 1,430 in Georgia → Look up another NPI →
Verify Shundale Thomas Mixon in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Georgia board licenses this profession
Search for license OPT003111Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $326.56
3 payments; by number, the most common kind was food and beverage; the largest payer was Optos, Inc. The 34,453 providers of this specialty with any payment received $769.99 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Perimeter Vision Care LLCAtlanta, GA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Shundale Thomas Mixon among 1,430 optometrist records in Georgia
Shundale Thomas Mixon, OD is one of 1,430 optometrist records with a practice address in Georgia. 76% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2018, is newer than 79% of them.
- NPI issued2018 · 79% of these records are older, 18% newer
- In a Medicare fileYes · 76% of these records are
- In the CMS Doctors and Clinicians fileYes · 58% of these records are
- Graduated2018 · median 2007 among the 830 with a school on file
- Record last updated2023 · 62% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 152W00000X and a Georgia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
19 optometrist records list a practice address in Suwanee
They are 19 of the 1,478 NPPES records with a practice address in Suwanee, and 1,430 optometrist records in Georgia.
All 1,430 in Georgia → Every provider in Suwanee → Optometrist nationwide →
The 8 optometrist records with the nearest ZIP codes
- Mumtaz Bashir, O.D.Suwanee, GA 300241356437883
- Glenda Brown, ODSuwanee, GA 300241790897494
- Nutan Desai, O.D.Suwanee, GA 300241205955481
- John Gallagher, ODSuwanee, GA 300241043301831
- Pamela Gewirtz, ODWinder, GA 300241265526842
- Richard Heggeland, O.D.Suwanee, GA 300241104903228
- William Kim, O.D.Suwanee, GA 300241528178928
- Maria Kim, O.D.Suwanee, GA 300241184768715
Common questions
What is Shundale Thomas Mixon, OD's NPI number?
Shundale Thomas Mixon, OD's National Provider Identifier (NPI) is 1013403088, issued on Jul 2, 2018. An NPI identifies a provider in billing; it is not a license.
Where is Shundale Thomas Mixon, OD located?
The NPPES record lists a practice address at 1300 Peachtree Industrial Blvd Ste 1206, Suwanee, GA, 30024. Phone: (334) 318-0713. Providers update this record themselves, so call before visiting.
How can I verify Shundale Thomas Mixon, OD's license?
NPPES lists Georgia license number OPT003111, as entered by the provider. Search the Georgia board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.