Jomo Harris

Primary specialty

OpticianTaxonomy code 156FX1800X

License

LDO002352 Issued in GA

Practice address

2508 Main St E
Snellville, GA 30078-3352

Phone

(678) 836-2428

NPI assigned

Mar 18, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Nanston Vision, LLC

  • Optometrist
  • Snellville, GA
  • NPI 1326473307
  NPD (past)

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

{
    "created_epoch": "1647561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647561600000",
    "number": "1457000473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2508 MAIN ST E",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300783352",
            "telephone_number": "678-836-2428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2508 MAIN ST E",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300783352",
            "telephone_number": "678-836-2428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "JOMO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-18",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "GA",
            "license": "LDO002352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "snellville",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "snellville",
            "address_1": "2508 Main St E",
            "city": "Snellville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300783352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shelly Harper, FNP-C
• Colin Harrell
• Chantai Nacole Harris, DDS
• Deidre Harris, MD
• Joanne Harris, LPC
• Latasha Tanika Harris, LPC
• Regina Harris
• A. Neil Harrison, M.D.
• Emily Harrison, MSW, LMSW
• Valerie Amaris Harrison, MS

• Optician in Snellville, GA
• Providers in Snellville, GA by specialty
• Optician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.