Terry Walter Mohr, OD
Individual provider Active NPI Optometrist · Hiawassee, GA
NPI 1841341971 · NPPES record last updated Mar 2, 2020
Key facts
- NPI
- 1841341971
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- OPT003218 (GA)
- Practice address
- 344 S Main St
Hiawassee, GA 30546-3470 - Phone
- (407) 924-9373
- NPI assigned
- Jan 16, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200325002231 | GA | Practitioner - Optometry | 1850284670 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1160 | NC | MD | Psychologist |
| OPC 1949 | FL | MD | Optometrist |
| OPT003218 | GA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dalton Family Eyecare, Inc. | Optometrist | Current |
Accepting new patients |
| National Vision, Inc. | Past | Accepting new patients | |
| National Vision, Inc. | Past | Accepting new patients |
Locations
17 Home Town Way
Blairsville, GA 30512
Phone (706) 487-8366
344 S Main St
Hiawassee, GA 30546
Phone (706) 862-1543
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC 1949 | FL | |
| Optometrist | 152W00000X | OPT003218 | GA | Yes |
| Optometrist | 152W00000X | 1160 | NC |
Addresses
Primary practice location
344 S Main St
Hiawassee, GA 30546-3470
Mailing address
344 S Main St
Hiawassee, GA 30546-3470
Phone (407) 924-9373
Other providers in Hiawassee, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 2, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.