Active NPI
Stephanie Ro, OD
- Optometrist
- Marietta, GA
National Provider Identifier
1609506492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT003432
- Practice address
- 1401 Johnson Ferry Rd Ste 148B
Marietta, GA 30062-6499 - Phone
- (770) 509-8480
- NPI assigned
- Jun 14, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | OPT003432 | GA | Primary |
Addresses
Primary practice location
1401 Johnson Ferry Rd Ste 148B
Marietta, GA 30062-6499
Mailing address
1401 Johnson Ferry Rd Ste 148B
Marietta, GA 30062-6499
Phone (770) 509-8480
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT003432 | GA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660176000000",
"number": "1609506492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 JOHNSON FERRY RD STE 148B",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300626499",
"telephone_number": "770-509-8480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 JOHNSON FERRY RD STE 148B",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300626499",
"telephone_number": "770-509-8480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RO",
"first_name": "STEPHANIE",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-14",
"last_updated": "2022-08-11",
"certification_date": "2022-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "OPT003432",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.