John L. Henahan, OD, Poc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

JOHN L. HENAHAN, OD, POC

Practice address

361 Highway 74 N
Peachtree City, GA 30269-1102

Phone

(770) 487-0667

NPI assigned

Mar 19, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. John L Henahan, ODNPI 1730170788

Title

President

Phone

(770) 487-0667

Specialties & licenses 1

Addresses

Other names 1

• Spectrum Eyecare Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John L Henahan, OD

  • Optometrist
  • Peachtree City, GA
  • NPI 1730170788
  Medicare reassignment Care Compare group NPD Authorized official
• Kimberly Sue Anderson, O.D.

  • Optometrist
  • Peachtree City, GA
  • NPI 1144474941
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754006400000",
    "number": "1013188952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 HIGHWAY 74 N",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691102",
            "telephone_number": "770-487-0667",
            "fax_number": "770-487-0947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 HIGHWAY 74 N",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691102",
            "telephone_number": "770-487-0667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN L. HENAHAN, OD, POC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-19",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A",
        "authorized_official_last_name": "HENAHAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-487-0667",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spectrum Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Larry Jenkins, CACII, NCACII, B.S.
• Jennifer Pollock Shankle
• Rebecca Jensen, PT
• Jacqueline Jimenez, LCSW
• John J Giovanelli DC PC
• John Lilly Grove Home Care LLC
• Crystal Johnson, LPC
• Dana Plauche Johnson
• David Arlington Johnson, O.D.
• Julie Johnston, AMFT

• Optometrist in Peachtree City, GA
• Providers in Peachtree City, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.