Romain Enyonam Konou, OPTICIAN

Primary specialty

OpticianTaxonomy code 156FX1800X

License

LDO002986 Issued in GA

Practice address

2696 Tritt Springs Trce NE
Marietta, GA 30062-5263

Phone

(862) 452-6084

NPI assigned

Dec 21, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1703116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1841069655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2696 TRITT SPRINGS TRCE NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300625263",
            "telephone_number": "862-452-6084",
            "fax_number": "770-410-8840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2696 TRITT SPRINGS TRCE NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300625263",
            "telephone_number": "862-452-6084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONOU",
        "first_name": "ROMAIN",
        "middle_name": "ENYONAM",
        "credential": "OPTICIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-12-21",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FC0800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Contact Lens",
            "state": "GA",
            "license": "LDO002986",
            "primary": false
        },
        {
            "code": "156FC0801X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Contact Lens Fitter",
            "state": "GA",
            "license": "LDO002986",
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "GA",
            "license": "ABO-NCLE234728",
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "GA",
            "license": "LDO002986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ritesh Kohli, M.D.
• Oloruntosin Kolawole
• Ravi Kumar Kolluri, RPH
• Ross A Kommor, MD
• Helen Konoma, RN
• Heather R Kontos, PT
• Areum Koo, RBT
• Jennie Engel Kooden, OTR/L
• Kool Kidz Inc
• Lakshmana M Kooragayala, MD

• Optician in Marietta, GA
• Providers in Marietta, GA by specialty
• Optician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.