Individual provider Active NPI

Leah J. McFerren, O.D.

  • Optometrist
  • College Park, GA
National Provider Identifier
1508943713
Registry record updated Apr 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT01216 Issued in GA
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

Updated by the provider on Apr 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00687794AMedicaidGA

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
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

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT01216GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Leah Johnson McFerren, O.D., P.C. Optometrist CurrentSince Jun 30, 2014 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

Verify at the official NPI Registry.