Jeanne Marie Perrine, O.D. PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT001112 Issued in GA

Practice address

501 Pulliam St SW
Suite 139
Atlanta, GA 30312-2755

Phone

(404) 589-8517

Fax

(404) 222-0174

NPI assigned

Aug 26, 2005

Reactivated

Apr 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Eye Center of Atlanta, P.C.

  • Optometrist
  • Atlanta, GA
  • NPI 1265973747

  GA, Optometrist

  Medicare reassignment NPD
• Jeanne M Perrine OD PC

  • Optometrist
  • Atlanta, GA
  • NPI 1912183708
  NPD (past) Authorized official
• Frances D. McMullan, MD, PC

  • Corneal and Contact Management Optometrist
  • Dunwoody, GA
  • NPI 1588822886
  NPD (past)
• Mount Vernon Eye Care, P.C.

  • Optometrist
  • Dunwoody, GA
  • NPI 1699913269
  NPD (past)

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341273600000",
    "number": "1104819903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 PULLIAM ST SW",
            "address_2": "SUITE 139",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303122755",
            "telephone_number": "404-589-8517",
            "fax_number": "404-222-0174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 PULLIAM ST SW",
            "address_2": "SUITE 139",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303122755",
            "telephone_number": "404-589-8517",
            "fax_number": "404-222-0174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRINE",
        "first_name": "JEANNE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "O.D. PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-26",
        "last_updated": "2012-07-03",
        "deactivation_date": "2006-03-27",
        "reactivation_date": "2006-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT001112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan S Perlstein, M.D.
• Amanda Lee Perme, CCC-SLP
• John Duncan Perna, MD
• Brittany Perri
• Barbara Dominique Perrier, RN, MSN, FNP-C
• Stephanie L Perrino, PHARM.D.
• Carlota E Perrot, NP-C
• Perry H. Julien, D.P.M.
• Perry Stylez Enterprise
• Lisa C Perry-Gilkes, M.D.

• Optometrist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2012; 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.

Verify at the official NPI Registry.