Individual provider Active NPI

James Sean Harper, O.D.

  • Optometrist
  • Smyrna, GA
National Provider Identifier
1447254289
Registry record updated Jan 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1791 Issued in GA
Practice address
1239 Concord Rd SE
Smyrna, GA 30080-4310
Phone
(770) 435-4457
Fax
(770) 435-4555
NPI assigned
Jun 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1791 GA Primary

Addresses

Primary practice location

1239 Concord Rd SE
Smyrna, GA 30080-4310

Mailing address

1239 Concord Rd SE
Smyrna, GA 30080-4310
Phone (770) 435-4457

Other identifiers 7

IdentifierTypeStateIssuer
2200015OtherGAUNITED HEALTHCARE
2241104OtherGAAETNA
1066912OtherGAAMERIGROUP
868727OtherGABCBS
22087OtherGAOPTICARE
2241104OtherGAAETNA US HEALTHCARE
00847602AMedicaidGA

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
I20100323000015 GA Practitioner - Optometry 1355446535 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Smyrna Eye Group, P.C.Group PAC ID 2163403510, 4 clinicians

Practice addresses (Care Compare)

4280 E W Connector SE
Smyrna, GA 30082
Phone (770) 435-4457

4280 E W Connector SE
Smyrna, GA 30082-4804

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1791GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Smyrna Eye Group, P.C. Optometrist CurrentSince Sep 13, 1999 Accepting new patients

Locations

1239 Concord Rd SE
Smyrna, GA 30080
Phone (770) 435-4457

4280 East West Connector SE
Smyrna, GA 30082
Phone (770) 435-4457

Interoperability endpoints

  • Direct secure messaging: james.harper@direct.revolutionehr.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199318400000",
    "number": "1447254289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1239 CONCORD RD SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300804310",
            "telephone_number": "770-435-4457",
            "fax_number": "770-435-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1239 CONCORD RD SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300804310",
            "telephone_number": "770-435-4457",
            "fax_number": "770-435-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARPER",
        "first_name": "JAMES",
        "middle_name": "SEAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2008-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "1791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2200015",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2241104",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "1066912",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "868727",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTICARE",
            "identifier": "22087",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "2241104",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00847602A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

Verify at the official NPI Registry.