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

Nash Ditmetaroj, OD

Individual provider Optometrist · NPI 1730520321

Nash Ditmetaroj, OD is an Optometry in Jonesboro, Georgia. Graduated from Indiana University - School of Optometry in 2013, 13 years ago. Practices with The Southeast Permanente Medical Group, a 826-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
13
Trained at
Indiana University - School of Optometry
Licensed in
GA
In the registry since
2013
Specialties on file
2
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

2400 Mount Zion Pkwy Kaiser Permanente Southwood Medical Ctr
Jonesboro, GA 30236-2500
Phone: (678) 906-3173
Show map & directions

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

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPT002753 (GA)
Optometrist Taxonomy 152W00000X · Licence 0002753 (GA)

Record details

NPI number1730520321
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 10, 2013
Last updated in NPPESJanuary 10, 2022
Mailing address3495 Piedmont Rd Ne, Nine Piedmont Center, Atlanta, GA 30305-1717

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolINDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Graduated 2013 (13 years in practice)
Group practice The Southeast Permanente Medical Group — 826 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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