Individual provider Active NPI

Leonard M Thurschwell, OD

  • Optometrist
  • Marietta, GA
National Provider Identifier
1881696763
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
000928 Issued in GA
Practice address
1230 Johnson Ferry PL
Suite B-10
Marietta, GA 30068-2048
Phone
(770) 977-8000
Fax
(770) 977-5541
NPI assigned
Aug 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 000928 GA Primary

Addresses

Primary practice location

1230 Johnson Ferry PL
Suite B-10
Marietta, GA 30068-2048

Mailing address

895 Canton Rd NE
Building 100
Marietta, GA 30060-8934
Phone (770) 427-8111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080603000352 GA Practitioner - Optometry 2163592163 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000928GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Marietta Eye Clinic, PA Optometrist CurrentSince Jun 16, 1995 Accepting new patients
Marietta Eye Clinic PA CurrentSince Jun 16, 1995 Accepting new patients
Marietta Eye Clinic PA Current Accepting new patients
Marietta Eye Clinic, PA Optometrist Past Accepting new patients

Locations

4450 Calibre Xing NW
Ste 1104
Acworth, GA 30101
Phone (678) 279-1141

949 Joe Frank Harris Pkwy SE
Cartersville, GA 30120
Phone (770) 386-3600

1230 Johnson Ferry Pl
Ste B10
Marietta, GA 30068
Phone (770) 509-0017

895 Canton Rd NE
Bldg 100
Marietta, GA 30060
Phone (770) 425-6167

2453 Powder Springs Rd SW
Ste 400
Marietta, GA 30064
Phone (770) 801-0700

2520 Windy Hill Rd SE
Ste 206
Marietta, GA 30067
Phone (770) 952-6851

3939 Roswell Rd
Ste 100
Marietta, GA 30062
Phone (770) 977-8000

2990 Eagle Dr
Ste 110
Woodstock, GA 30189
Phone (678) 460-4810

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881696763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "895 CANTON RD NE",
            "address_2": "BUILDING 100",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300608934",
            "telephone_number": "770-427-8111",
            "fax_number": "770-499-1643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 JOHNSON FERRY PL",
            "address_2": "SUITE B-10",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300682048",
            "telephone_number": "770-977-8000",
            "fax_number": "770-977-5541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THURSCHWELL",
        "first_name": "LEONARD",
        "middle_name": "M",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "000928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.