Individual provider Active NPI

Herbert Barton Hahn, O.D.

  • Optometrist
  • Dahlonega, GA
National Provider Identifier
1144652033
Registry record updated Aug 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT002780 Issued in GA
Practice address
134 Ansley Dr
Dahlonega, GA 30533-1639
Phone
(706) 864-3074
Fax
(706) 864-3075
NPI assigned
Aug 2, 2013
Last updated
Aug 2, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT002780 GA Primary

Addresses

Primary practice location

134 Ansley Dr
Dahlonega, GA 30533-1639

Mailing address

134 Ansley Dr
Dahlonega, GA 30533-1639
Phone (706) 864-3074

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150505000647 GA Practitioner - Optometry 6901125467 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT002780GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Windward Eye Care Optometrist Current Accepting new patients
Atlanta Vision Cataract & Laser Center, PC Current Accepting new patients
Atlanta Vision Cataract & Laser Center PC CurrentSince Jan 9, 2015 Accepting new patients
Windward Eye Care, Inc. Optometrist CurrentSince Dec 1, 2015 Accepting new patients

Locations

2725 Old Milton Pkwy
Ste B
Alpharetta, GA 30009
Phone (770) 475-1777

5315 Windward Pkwy
#F
Alpharetta, GA 30004
Phone (678) 393-2025

5315 Windward Pkwy
Ste F
Alpharetta, GA 30004
Phone (678) 393-2025

108 Mountain Dr
Ste B
Dahlonega, GA 30533
Phone (706) 864-3074

134 Ansley Dr
Dahlonega, GA 30533
Phone (706) 864-0334

3619 S Fulton Ave
Hapeville, GA 30354
Phone (404) 765-2020

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1375401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375401600000",
    "number": "1144652033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 ANSLEY DR",
            "city": "DAHLONEGA",
            "state": "GA",
            "postal_code": "305331639",
            "telephone_number": "706-864-3074",
            "fax_number": "706-864-3075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 ANSLEY DR",
            "city": "DAHLONEGA",
            "state": "GA",
            "postal_code": "305331639",
            "telephone_number": "706-864-3074",
            "fax_number": "706-864-3075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAHN",
        "first_name": "HERBERT",
        "middle_name": "BARTON",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-02",
        "last_updated": "2013-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dahlonega, GA

Sources for this page

Verify at the official NPI Registry.