John L Henahan, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT001788 Issued in GA

Practice address

361 Highway 74 N
Peachtree City, GA 30269-1102

Phone

(770) 487-0667

Fax

(770) 487-0947

NPI assigned

Oct 31, 2005

Last updated

Aug 1, 2025By the provider in NPPES

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 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

Specialty

Optometry

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

John L. Henahan, OD, PocGroup PAC ID 7911076831, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• John L. Henahan, OD, Poc

  dba Spectrum Eyecare

  • Optometrist
  • Peachtree City, GA
  • NPI 1013188952
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1730170788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 HIGHWAY 74 N",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691102",
            "telephone_number": "770-487-0667",
            "fax_number": "770-487-0947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 HIGHWAY 74 N",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691102",
            "telephone_number": "770-487-0667",
            "fax_number": "770-487-0947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENAHAN",
        "first_name": "JOHN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT001788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "721256052",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00844181A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heartline Medical, Inc.
• Karen Hefter
• Krista Heim
• Donna Kay Heinlen, LPC
• Kristi Hellenbrand, D.C.
• Stephanie Terrell Henderson, PA-C
• Christopher L Hendley, DPT
• Genevieve Daniel Hernandez, LPC
• Matthew Emerson Herrick, DPT
• Joni Christina Herron, LPC

• Optometrist in Peachtree City, GA
• Providers in Peachtree City, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2025; 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.