Andre Terrell Lenoir, O.D

Primary specialty

OptometristTaxonomy code 152W00000X

License

2176 Issued in GA

Practice address

2788 Bayard St
East Point, GA 30344-3441

Phone

(770) 593-0046

Fax

(770) 808-2787

NPI assigned

Jan 16, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Southern College of Optometry, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Lithonia Family Eye Care LLC

  • Optometrist
  • Lithonia, GA
  • NPI 1780875179
  Medicare reassignment NPD Authorized official
• MC DO Optometry LLC

  • Optometrist
  • Dallas, GA
  • NPI 1255984423
  NPD (past)
• Morrow Eye Care, LLC

  • Optometrist
  • Morrow, GA
  • NPI 1407605058
  NPD (past)

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473292800000",
    "number": "1417008327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2788 BAYARD ST",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303443441",
            "telephone_number": "770-593-0046",
            "fax_number": "770-808-2787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2788 BAYARD ST",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303443441",
            "telephone_number": "770-593-0046",
            "fax_number": "770-808-2787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENOIR",
        "first_name": "ANDRE",
        "middle_name": "TERRELL",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2016-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "2176",
            "primary": true
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "GA",
            "license": "2176",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "69118107A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Enoch Kotei, M.D.
• Andy Lafontant, PA-C
• Djennie Lajeunesse
• Sharay D Lane, SLP
• Demetrius R Lemon
• Lynn Lewis, LPC
• Michelle Yvette Leyden
• Life Cycle OBGYN, LLC
• Life Cycle Pediatrics, LLC
• Tiffany Theara Long

• Optometrist in East Point, GA
• Providers in East Point, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2016; 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.