Active NPI
Leah J. McFerren, O.D.
- Optometrist
- College Park, GA
National Provider Identifier
1508943713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT01216
- Practice address
- 1704 Virginia Ave
College Park, GA 30337-2014 - Phone
- (404) 768-3800
- Fax
- (404) 768-9104
- NPI assigned
- Nov 1, 2006
- Sex
- Female
- 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 | OPT01216 | GA | Primary |
Addresses
Primary practice location
1704 Virginia Ave
College Park, GA 30337-2014
Mailing address
1704 Virginia Ave
College Park, GA 30337-2014
Phone (404) 768-3800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00687794A | Medicaid | GA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100910000842 | GA | Practitioner - Optometry | 8820113004 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1704 Virginia Ave
College Park, GA 30337-2014
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT01216 | GA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leah Johnson McFerren, O.D., P.C. | Optometrist | Current | Accepting new patients |
Locations
1704 Virginia Ave
College Park, GA 30337
Phone (404) 768-3500
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272326400000",
"number": "1508943713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1704 VIRGINIA AVE",
"city": "COLLEGE PARK",
"state": "GA",
"postal_code": "303372014",
"telephone_number": "404-768-3800",
"fax_number": "404-768-9104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1704 VIRGINIA AVE",
"city": "COLLEGE PARK",
"state": "GA",
"postal_code": "303372014",
"telephone_number": "404-768-3800",
"fax_number": "404-768-9104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCFERREN",
"first_name": "LEAH",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2010-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "OPT01216",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00687794A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in College Park, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2010; 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.