Individual provider Active NPI

Brenda Yvonne Ramos Werner, O.D.

  • Optometrist
  • Locust Grove, GA
National Provider Identifier
1407913858
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT001921 Issued in GA
Practice address
24 Peeksville Rd
Locust Grove, GA 30248-3125
Phone
(770) 230-0700
Fax
(770) 230-0707
NPI assigned
Jan 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 00921 GA
Optometrist 152W00000X OPT001921 GA Primary

Addresses

Primary practice location

24 Peeksville Rd
Locust Grove, GA 30248-3125

Mailing address

24 Peeksville Rd
Locust Grove, GA 30248-3125
Phone (770) 230-0700

Other names 1

  • Brenda Yvonne Ramos Other name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050511000115 GA Practitioner - Optometry 7416997507 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

24 Peeksville Rd
Locust Grove, GA 30248-3125
Phone (770) 230-0700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1921GAMDClinical Psychologist
00921GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Georgia, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Georgia, LLC Optometrist CurrentSince Sep 12, 2018 Accepting new patients
Myeyedr Optometry of Georgia, LLC Optometrist CurrentSince Sep 12, 2018 Accepting new patients
Werner Family Eyecare Optometrist CurrentSince Sep 25, 2023 Accepting new patients

Locations

4875 Altama Ave
Brunswick, GA 31520
Phone (912) 554-0010

24 Peeksville Rd
Locust Grove, GA 30248
Phone (770) 230-0700

1044 Avalon Pkwy
McDonough, GA 30253
Phone (770) 898-7078

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1407913858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 PEEKSVILLE RD",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "302483125",
            "telephone_number": "770-230-0700",
            "fax_number": "770-230-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 PEEKSVILLE RD",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "302483125",
            "telephone_number": "770-230-0700",
            "fax_number": "770-230-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMOS WERNER",
        "first_name": "BRENDA",
        "middle_name": "YVONNE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "00921",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT001921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENDA",
            "last_name": "RAMOS",
            "middle_name": "YVONNE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Locust Grove, GA

Sources for this page

Verify at the official NPI Registry.