Active NPI
Leah Johnson McFerren, O.D., P.C.
- Optometrist
- College Park, GA
National Provider Identifier
1306250857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT001216
- Legal business name
- LEAH JOHNSON MCFERREN, O.D., P.C.
- Practice address
- 1704 Virginia Ave
College Park, GA 30337-2014 - Phone
- (404) 768-3500
- NPI assigned
- Jun 12, 2014
- Last updated
- Aug 4, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Leah McFerren, O.D.
- Title
- President
- Phone
- (404) 768-3500
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT001216 | GA | Primary |
Addresses
Primary practice location
1704 Virginia Ave
College Park, GA 30337-2014
Mailing address
1704 Virginia Ave
College Park, GA 30337-2014
Phone (404) 768-3500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000687794A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1704 Virginia Ave
College Park, GA 30337
Phone (404) 768-3500
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- College Park, GA
- NPI 1508943713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402531200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1407110400000",
"number": "1306250857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1704 VIRGINIA AVE",
"city": "COLLEGE PARK",
"state": "GA",
"postal_code": "303372014",
"telephone_number": "404-768-3500",
"fax_number": "404-768-9104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1704 VIRGINIA AVE",
"city": "COLLEGE PARK",
"state": "GA",
"postal_code": "303372014",
"telephone_number": "404-768-3500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEAH JOHNSON MCFERREN, O.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-12",
"last_updated": "2014-08-04",
"status": "A",
"authorized_official_last_name": "MCFERREN",
"authorized_official_first_name": "LEAH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "404-768-3500",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "OPT001216",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000687794A",
"state": "GA"
}
],
"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 Aug 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.