Katie Harris, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT003450 Issued in GA

Practice address

2020 Howell Mill Rd NW Ste 37
Atlanta, GA 30318-1732

Phone

(404) 835-2975

NPI assigned

Jul 19, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Nova Southeastern College of Osteo Medicine, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Perimeter Vision Care LLCGroup PAC ID 0547685810, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Perimeter Vision Care, LLC

  dba Atlanta Eye Group Tucker

  • Optometrist
  • Atlanta, GA
  • NPI 1215611546
  Medicare reassignment Care Compare group NPD
• Amk Eyecare, P.C.

  dba Eyeclectic Vision Source

  • Optometrist
  • Atlanta, GA
  • NPI 1093145609
  Medicare reassignment NPD
• Perimeter Vision Care, LLC

  dba Atlanta Eye Group

  • Optometrist
  • Alpharetta, GA
  • NPI 1174397053
  NPD (past)
• Perimeter Vision Care, LLC

  dba Atlanta Eye Group

  • Optometrist
  • Atlanta, GA
  • NPI 1811527971
  NPD (past)

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

{
    "created_epoch": "1658188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1356076947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 PIEDMONT AVE NE UNIT 2101",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303094192",
            "telephone_number": "954-253-2454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 HOWELL MILL RD NW STE 37",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303181732",
            "telephone_number": "404-835-2975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "KATIE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-19",
        "last_updated": "2022-07-19",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jing Jing Wong Harris, MD
• Johnny Harris II, M.D.
• Julia Nancy Harris
• Kai-McKenzie Harris, LCSW
• Kamaria Harris
• Kelly M Harris, LPC, NCC
• Kevin Harris, MD
• Kim Michelle Harris
• Kim Sturdivant Harris, NP
• Kiyana Elizabeth Harris, DO

• Optometrist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.