Active NPI
William Allen Herren, OD
- Occupational Vision Optometrist
- Pooler, GA
National Provider Identifier
1205979242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Vision Optometrist
- License
- 881
- Practice address
- 15 Mill Creek Circle
Pooler, GA 31322 - Phone
- (912) 748-9646
- Fax
- (912) 748-9664
- NPI assigned
- Feb 15, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 881 | GA | |
| Corneal and Contact Management Optometrist | 152WC0802X | 881 | GA | |
| Occupational Vision Optometrist | 152WX0102X | 881 | GA | Primary |
Addresses
Primary practice location
15 Mill Creek Circle
Pooler, GA 31322
Mailing address
831 E 1St St
Midway, GA 31320-7240
Phone (912) 884-5556
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 881 | GA | MD | Corneal and Contact Management Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. WM. Allen Herren,LLC | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Optometrist
- Swainsboro, GA
- NPI 1730361528
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1205979242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "831 E 1ST ST",
"city": "MIDWAY",
"state": "GA",
"postal_code": "313207240",
"telephone_number": "912-884-5556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 MILL CREEK CIRCLE",
"city": "POOLER",
"state": "GA",
"postal_code": "31322",
"telephone_number": "912-748-9646",
"fax_number": "912-748-9664"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERREN",
"first_name": "WILLIAM",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-15",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "881",
"primary": false
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "GA",
"license": "881",
"primary": false
},
{
"code": "152WX0102X",
"taxonomy_group": "",
"desc": "Optometrist, Occupational Vision",
"state": "GA",
"license": "881",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pooler, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.