Active NPI
Lorie P. Weikers, O.D.
- Optometrist
- Morrow, GA
National Provider Identifier
1619961141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT001208
- Practice address
- 1000 Corporate Center Dr
Ste 100
Morrow, GA 30260-4180 - Phone
- (770) 968-8888
- Fax
- (770) 960-2473
- NPI assigned
- Sep 12, 2005
- 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 | OPT001208 | GA | Primary |
Addresses
Primary practice location
1000 Corporate Center Dr
Ste 100
Morrow, GA 30260-4180
Mailing address
1000 Corporate Center Dr
Ste 100
Morrow, GA 30260-4180
Phone (770) 968-8888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C16012 | Other | GA | RAILROAD MEDICARE |
Other names 1
- Lorie Pryor
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT001208 | GA | MD | Optometrist |
| 001208 | GA | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200355200000",
"number": "1619961141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 CORPORATE CENTER DR",
"address_2": "STE 100",
"city": "MORROW",
"state": "GA",
"postal_code": "302604180",
"telephone_number": "770-968-8888",
"fax_number": "770-960-2473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 CORPORATE CENTER DR",
"address_2": "STE 100",
"city": "MORROW",
"state": "GA",
"postal_code": "302604180",
"telephone_number": "770-968-8888",
"fax_number": "770-960-2473"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEIKERS",
"first_name": "LORIE",
"middle_name": "P.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-12",
"last_updated": "2008-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "OPT001208",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "C16012",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LORIE",
"last_name": "PRYOR",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Morrow, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.