Active NPI
John Hoskins Warren, O.D.
- Optometrist
- Snellville, GA
National Provider Identifier
1861421315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1828
- Practice address
- 1708 Scenic Hwy N
Snellville, GA 30078-2134 - Phone
- (770) 736-3354
- NPI assigned
- Jun 30, 2006
- Sex
- Male
- 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 | 1828 | GA | Primary |
Addresses
Primary practice location
1708 Scenic Hwy N
Snellville, GA 30078-2134
Mailing address
1025 Fairview Club Cir
Dacula, GA 30019-3192
Phone (770) 338-8453
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00968481A | Medicaid | GA |
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 |
|---|---|---|---|
| 1828 | GA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861421315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 FAIRVIEW CLUB CIR",
"city": "DACULA",
"state": "GA",
"postal_code": "300193192",
"telephone_number": "770-338-8453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1708 SCENIC HWY N",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300782134",
"telephone_number": "770-736-3354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARREN",
"first_name": "JOHN",
"middle_name": "HOSKINS",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "1828",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00968481A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Snellville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.