Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1497210009 Individual Practitioner Male Practitioner

Dr. Vladislav Ivanchenko , OD

Optometrist • Canton, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Vladislav Ivanchenko, OD is a certified Optometrist practicing in Canton, GA. With approximately 11 years of clinical experience since completing medical education in 2015, Dr. Ivanchenko delivers high-quality medical care to the local community at 2030 CUMMING HWY STE 106.

Dr. Ivanchenko is affiliated with Leiv M Takle Md Pc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

2030 Cumming Hwy Ste 106

Canton, GA 301158009

Telephone 6784932220
Fax 6784934832
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Canton, GA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
11 Yrs -6.0 yrs vs City Avg
City Avg: 17.0 Yrs
State Avg: 22.3 Yrs
Regional Practice Density
18 Specialists

Practicing in Canton, 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

Clinical Seniority & Experience Comparison

Dr. Ivanchenko (11 Years) 11 Yrs
Canton Specialty Average (17.0 Years) 17.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-07-18
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License GA OPT003096

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.

Hospital & Practice Group Affiliations

Leiv M Takle Md Pc

646 S 8th St, Griffin, GA 302244214

Phone: 7702283836

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Crystal Mizell

Optometrist

NPI 1013261288
NPI 1952033128

Doctor of Optometry

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location July 18, 2025

Registered at 2030 CUMMING HWY STE 106, CANTON, GA 301158009 (Tel: 6784932220)

NPI Profile Active February 07, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location February 07, 2019

Registered at 1128 HIGHWAY 20 W STE A, MCDONOUGH, GA 302536520 (Tel: 7703021420)

📍
Updated Business Mailing Address February 07, 2019

Registered at 2002 MILLINGTON LN, JACKSONVILLE, FL 322461386

👤
Provider Name / Credentials Updated February 07, 2019

Recorded as VLADISLAV IVANCHENKO, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 07, 2019

Optometrist (License #OPT003096 in GA)

🟢
Initial NPI Registration & Enumeration February 07, 2019

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: 1497210009
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 07, 2019
Last Update: July 18, 2025
Sole Proprietor: Yes

Mailing Address

2002 Millington Ln

Jacksonville, FL 322461386

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.