Harry Ellsworth Siegrist III, D.C, L.D.O.

Primary specialty

OpticianTaxonomy code 156FX1800X

License

875 Issued in FL

Practice address

1781 Veterans Memorial Hwy Ste 1a
Austell, GA 30168-7965

Phone

(770) 941-3802

Fax

(770) 739-2020

NPI assigned

Feb 14, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 5

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": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1851434476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 FALCON DR",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301063067",
            "telephone_number": "770-941-6063",
            "fax_number": "770-739-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1781 VETERANS MEMORIAL HWY STE 1A",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301687965",
            "telephone_number": "770-941-3802",
            "fax_number": "770-739-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGRIST",
        "first_name": "HARRY",
        "middle_name": "ELLSWORTH",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.C, L.D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "GA",
            "license": "2148",
            "primary": false
        },
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "FL",
            "license": "4508",
            "primary": false
        },
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "WI",
            "license": "3452-012",
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "GA",
            "license": "645",
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "FL",
            "license": "875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shree Yamuna Maharaniji,PC
• Aseem Shrivastava, MD
• Paulomi Sahir Shroff, M.D.
• Yahya Khalid Siddiq, M.D.
• Henry Siegelson
• Robert Silverman, MD
• Carmen Nicole Simmons
• Gary S. Simon, M.D.
• Stuart J Simon, M.D.
• Bridget Simpson, LPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.