Active NPI
Lakisha Harris, LDO
- Optician
- College Park, GA
National Provider Identifier
1275306094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 002699
- Practice address
- 6149 Old National Hwy
College Park, GA 30349-4479 - Phone
- (770) 994-0141
- NPI assigned
- Nov 2, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Optician | 156FX1800X | 002699 | GA | Primary |
Addresses
Primary practice location
6149 Old National Hwy
College Park, GA 30349-4479
Mailing address
7548 Chads Cir
Jonesboro, GA 30236-5709
Phone (678) 790-8654
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002699 | GA | MD | Anesthesiologist Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698883200000",
"number": "1275306094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7548 CHADS CIR",
"city": "JONESBORO",
"state": "GA",
"postal_code": "302365709",
"telephone_number": "678-790-8654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6149 OLD NATIONAL HWY",
"city": "COLLEGE PARK",
"state": "GA",
"postal_code": "303494479",
"telephone_number": "770-994-0141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "LAKISHA",
"name_prefix": "Ms.",
"credential": "LDO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-02",
"last_updated": "2023-11-02",
"certification_date": "2023-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "GA",
"license": "002699",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in College Park, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.