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Deactivated NPI 1225084320 Deactivated / Inactive NPI Male Practitioner

Dr. Brent Merril Dulitz , OD

Optometrist • Avondale Estates, GA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Brent Dulitz has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 26, 2006
NPI Deactivation Date July 16, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Brent Dulitz, OD was a registered Optometrist practicing in Avondale Estates, GA. Throughout an active medical career spanning 13 years, Dr. Dulitz provided care at the practice location at 22 MELFORD PL until profile deactivation on 2019-07-16.

Practice Location & Contact Primary Location

Practice Address

22 Melford Pl

Avondale Estates, GA 300021337

Telephone 4042996024

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Avondale Estates, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 32.0 Yrs
State Avg: 22.3 Yrs
Regional Practice Density
2 Specialists

Practicing in Avondale Estates, GA (1498 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License GA OPT001676

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 16, 2019

Record deactivated on July 16, 2019

NPI Profile Active December 17, 2012

NPI status registered as active in NPPES database

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Updated Practice Location December 17, 2012

Registered at 22 MELFORD PL, AVONDALE ESTATES, GA 300021337 (Tel: 4042996024)

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Updated Business Mailing Address December 17, 2012

Registered at P O BOX 742, AVONDALE ESTATES, GA 300020742 (Tel: 4042996024)

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Provider Name / Credentials Updated December 17, 2012

Recorded as BRENT DULITZ, O.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 17, 2012

Optometrist (License #OPT001676 in GA)

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Initial NPI Registration & Enumeration May 26, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1225084320
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 26, 2006
Last Update: December 17, 2012
Deactivation Date: July 16, 2019

Mailing Address

P O Box 742

Avondale Estates, GA 300020742

Phone: 4042996024

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.