John Thomas Womack Jr., OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT002064 Issued in GA

Practice address

1455 Riverstone Pkwy Ste 100
Canton, GA 30114-5627

Phone

(770) 479-0500

Fax

(770) 720-0104

NPI assigned

Jun 5, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL, GA2 enrollments

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 2

Specialty

Optometry

Education

Southern College of Optometry, 2002

Medicare assignment

May accept Medicare assignment

Group practices

Family First Vision Care GeorgiaGroup PAC ID 3173934981, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Family First Vision Care Georgia

  • Optometrist
  • Roswell, GA
  • NPI 1649881236
  Medicare reassignment Care Compare group NPD
• Dr. Ted Brink and Associates PA

  • Optometrist
  • Jacksonville, FL
  • NPI 1427138650
  Medicare reassignment NPD
• Family First Vision Care, PLLC

  • Optometrist
  • Jacksonville, FL
  • NPI 1104341882
  Medicare reassignment NPD
• Dr.Ted Brink & Associates

  • Optometrist
  • Jacksonville, FL
  • NPI 1730402686
  NPD
• Family First Vision Care Georgia PLLC

  • Optometrist
  • Canton, GA
  • NPI 1003675893
  NPD (past)
• Family First Vision Care Georgia PLLC

  • Optometrist
  • Cartersville, GA
  • NPI 1174382964
  NPD (past)
• Family First Vision Care Kentucky, LLC

  • Optometrist
  • Fort Mitchell, KY
  • NPI 1396396750
  NPD (past)
• Family First Vision Care, LLC

  • Optometrist
  • Columbus, OH
  • NPI 1427462183
  NPD (past)

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1487693446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 RIVERSTONE PKWY STE 100",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301145627",
            "telephone_number": "770-479-0500",
            "fax_number": "770-720-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 RIVERSTONE PKWY STE 100",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301145627",
            "telephone_number": "770-479-0500",
            "fax_number": "770-720-0104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4413 Town Center Pkwy Ste 207",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322468570",
            "country_code": "US",
            "telephone_number": "904-998-9871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOMACK",
        "first_name": "JOHN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "28579",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "28579A",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffani Amber Wilson, APRN
• Wilson'S Pharmacy of Canton, Inc
• Deborah Windham, R.PH.
• With a Child'S Heart, LLC.
• Emily Wolff, PA-C
• Women'S Imaging Specialists - Canton, LLC
• Anna Olivia Womick Bermudez, CNM
• Nelson G Woo, D.M.D.
• Brandi McGinnis Wood, M.S. CCC-SLP
• Kimberly Kleeman Wood, SLP

• Optometrist in Canton, GA
• Providers in Canton, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; 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.