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

Shundale Thomas Mixon, OD

Individual provider Optometrist · NPI 1013403088

Shundale Thomas Mixon, OD is an Optometry in Suwanee, Georgia. Graduated from Nova Southeastern Univ College of Dental Medicine in 2018, 8 years ago. Works from 3 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
8
Trained at
Nova Southeastern Univ College of Dental Medicine
Licensed in
GA
In the registry since
2018
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

1300 Peachtree Industrial Blvd Ste 1206
Suwanee, GA 30024-4550
Phone: (334) 318-0713
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 8400 Holcomb Bridge Rd Ste 440, Alpharetta, GA 30022-1837 — (636) 200-4393
  • 2900 Peachtree Rd Nw Ste 301, Atlanta, GA 30305-2193 — (636) 200-4393

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPT003111 (GA)

Record details

NPI number1013403088
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 2, 2018
Last updated in NPPESOctober 4, 2023
Certification dateOctober 4, 2023

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolNOVA SOUTHEASTERN UNIV COLLEGE OF DENTAL MEDICINE
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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