Active NPI
Katrina Pringle, LDO
- Optician
- Locust Grove, GA
National Provider Identifier
1295556991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- LDO002916
- Practice address
- 4949 Bill Gardner Pkwy
Locust Grove, GA 30248 - Phone
- (678) 734-3489
- NPI assigned
- Oct 24, 2024
- 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 | LDO002916 | GA | Primary |
Addresses
Primary practice location
4949 Bill Gardner Pkwy
Locust Grove, GA 30248
Mailing address
334 Martin Dairy Rd
Milner, GA 30257
Phone (912) 675-7831
Other names 1
- Katrina Minyard
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 |
|---|---|---|---|
| LDO002916 | GA | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729728000000",
"number": "1295556991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "334 MARTIN DAIRY RD",
"city": "MILNER",
"state": "GA",
"postal_code": "30257",
"telephone_number": "912-675-7831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4949 BILL GARDNER PKWY",
"city": "LOCUST GROVE",
"state": "GA",
"postal_code": "30248",
"telephone_number": "678-734-3489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRINGLE",
"first_name": "KATRINA",
"credential": "LDO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-24",
"last_updated": "2024-10-24",
"certification_date": "2024-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "GA",
"license": "LDO002916",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATRINA",
"last_name": "MINYARD",
"credential": "LDO",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Locust Grove, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.