Active NPI
James Edwin Behrens, O.D.
- Vision Therapy Optometrist
- Atlanta, GA
National Provider Identifier
1871716654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vision Therapy Optometrist
- License
- OPT001904
- Practice address
- 350 Ferst Dr NW
Atlanta, GA 30332-0001 - Phone
- (404) 894-9533
- Fax
- (404) 894-2026
- NPI assigned
- Apr 10, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Vision Therapy Optometrist | 152WV0400X | OPT001904 | GA | Primary |
Addresses
Primary practice location
350 Ferst Dr NW
Atlanta, GA 30332-0001
Mailing address
3460 Kingsboro Rd NE
840
Atlanta, GA 30326-3300
Phone (404) 812-0780
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT001904 | GA | MD | Vision Therapy Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Vision Center LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Optometrist
- Atlanta, GA
- NPI 1467699629
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871716654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3460 KINGSBORO RD NE",
"address_2": "840",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303263300",
"telephone_number": "404-812-0780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 FERST DR NW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303320001",
"telephone_number": "404-894-9533",
"fax_number": "404-894-2026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEHRENS",
"first_name": "JAMES",
"middle_name": "EDWIN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152WV0400X",
"taxonomy_group": "",
"desc": "Optometrist, Vision Therapy",
"state": "GA",
"license": "OPT001904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, 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.