Active NPI
Henry J. Decker, O.D.
- Optometrist
- Nashville, GA
National Provider Identifier
1386770485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT000680
- Practice address
- 406 E McPherson Ave
Nashville, GA 31639-2275 - Phone
- (229) 686-3849
- Fax
- (229) 686-3849
- NPI assigned
- Feb 26, 2007
- Last updated
- Jul 8, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT000680 | GA | Primary |
Addresses
Primary practice location
406 E McPherson Ave
Nashville, GA 31639-2275
Mailing address
406 E McPherson Ave
P.O. Box 929
Nashville, GA 31639-2275
Phone (229) 686-3849
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 |
|---|---|---|---|
| OPT000680 | GA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386770485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "406 E MCPHERSON AVE",
"address_2": "P.O. BOX 929",
"city": "NASHVILLE",
"state": "GA",
"postal_code": "316392275",
"telephone_number": "229-686-3849",
"fax_number": "229-686-3849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "406 E MCPHERSON AVE",
"city": "NASHVILLE",
"state": "GA",
"postal_code": "316392275",
"telephone_number": "229-686-3849",
"fax_number": "229-686-3849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DECKER",
"first_name": "HENRY",
"middle_name": "J.",
"name_prefix": "Mr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "OPT000680",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nashville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.