Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jennifer A Dattolo, OD

Individual provider Vision Therapy Optometrist · NPI 1962596627

Dr. Jennifer A Dattolo, OD is an Optometry in Woodstock, Georgia. Graduated from Pennsylvania College of Optometry in 2000, 26 years ago. Accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
26
Trained at
Pennsylvania College of Optometry
Licensed in
GA
In the registry since
2006
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

1075 Buckhead Xing Ste 130
Woodstock, GA 30189-4262
Phone: (770) 702-5996
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vision Therapy Optometrist (primary) Taxonomy 152WV0400X · Licence 001878 (GA)

Record details

NPI number1962596627
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedOctober 3, 2006
Last updated in NPPESJune 9, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolPENNSYLVANIA COLLEGE OF OPTOMETRY
Graduated 2000 (26 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare