Active NPI
Lindsay Johnson Marshburn, O.D.
- Optometrist
- Decatur, GA
National Provider Identifier
1023431350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 002775
- Practice address
- 104 Church St
Decatur, GA 30030-3325 - Phone
- (404) 378-3694
- Fax
- (404) 373-0741
- NPI assigned
- Jan 22, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 002775 | GA | Primary |
Addresses
Primary practice location
104 Church St
Decatur, GA 30030-3325
Mailing address
104 Church St
Decatur, GA 30030-3325
Phone (404) 378-3694
Other names 1
- Dr. Lindsay Eileen Johnson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002775 | GA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eyecare Plus LLC | Current | Accepting new patients | |
| Reagin Decatur Group, LLC | Current | Accepting new patients | |
| Reagin Optometric Group, P.a. | Optometrist | Past | Accepting new patients |
Locations
216 Church St
Decatur, GA 30030
Phone (404) 378-3694
104 Church St
Decatur, GA 30030
Phone (404) 378-3694
301 Petrol Pt
#B
Peachtree Cty, GA 30269
Phone (770) 487-2020
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Corneal and Contact Management Optometrist
- Peachtree City, GA
- NPI 1245429539
-
- Health Service Clinic/Center
- Decatur, GA
- NPI 1770002693
-
- Optometrist
- Decatur, GA
- NPI 1447391594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548806400000",
"number": "1023431350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 CHURCH ST",
"city": "DECATUR",
"state": "GA",
"postal_code": "300303325",
"telephone_number": "404-378-3694",
"fax_number": "404-373-0741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 CHURCH ST",
"city": "DECATUR",
"state": "GA",
"postal_code": "300303325",
"telephone_number": "404-378-3694",
"fax_number": "404-373-0741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSHBURN",
"first_name": "LINDSAY",
"middle_name": "JOHNSON",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-22",
"last_updated": "2019-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "002775",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LINDSAY",
"last_name": "JOHNSON",
"middle_name": "EILEEN",
"prefix": "DR.",
"credential": "O.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.