Active NPI
Patrick Wayne Schrepel, OD
- Optometrist
- Hiram, GA
National Provider Identifier
1437644523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT003097
- Practice address
- 4465 Jimmy Lee Smith Pkwy Ste 101a
Hiram, GA 30141-2723 - Phone
- (678) 932-5779
- NPI assigned
- Jun 29, 2018
- Last updated
- Jun 29, 2018
- Sex
- Male
- Sole proprietor
- No
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 | OPT003097 | GA | Primary |
Addresses
Primary practice location
4465 Jimmy Lee Smith Pkwy Ste 101a
Hiram, GA 30141-2723
Mailing address
5238 Valley Tarn
Acworth, GA 30102-2581
Phone (857) 218-8262
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 |
|---|---|---|---|
| OPT003097 | GA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530230400000",
"number": "1437644523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5238 VALLEY TARN",
"city": "ACWORTH",
"state": "GA",
"postal_code": "301022581",
"telephone_number": "857-218-8262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4465 JIMMY LEE SMITH PKWY STE 101A",
"city": "HIRAM",
"state": "GA",
"postal_code": "301412723",
"telephone_number": "678-932-5779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHREPEL",
"first_name": "PATRICK",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-29",
"last_updated": "2018-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "OPT003097",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hiram, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.