DR. JOHN L HENAHAN (NPI# 1730170788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730170788 |
| Entity Type | Individual |
| Full Name | DR. JOHN L HENAHAN |
| Credential | OD |
| Practice Address |
361 Highway 74 N Peachtree City GA 30269-1102 |
| Practice Telephone | 7704870667 |
| Practice Fax Number | 7704870947 |
| Mailing Telephone | 7704870667 |
| Mailing Fax Number | 7704870947 |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2016-12-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPT001788 | GA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00844181A | 05 | |
| LA | TAX ID | 721256052 | 01 |
| Street Address |
361 HIGHWAY 74 N |
| City | PEACHTREE CITY |
| State | GA |
| Zip Code | 30269-1102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013188952 | John L. Henahan, Od, Poc | Optometrist | 361 Highway 74 N, Peachtree City, GA 30269-1102 | 2008-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750992772 | Brian Voyles | Pharmacist | 130 Peachtree East Ct, Ste #4, Peachtree City, GA 30269 | 2020-08-13 |
| 1871133066 | Imani Scott | Physical Therapist | 1280 Hwy 74 S Ste 210, Peachtree City, GA 30269 | 2020-01-15 |
| 1477191898 | Sandra Jo Aletraris | Counselor | 105 Camp Creek Trail, Peachtree City, GA 30269 | 2019-12-16 |
| 1295372696 | Jovon Erika Caldwell Taylor | Nurse Practitioner | 125 Governors Square, Suite B, Peachtree City, GA 30269 | 2019-12-04 |
| 1376191106 | Ryan Goldfine Dpm LLC | Podiatrist | 3451 Ernest W Barrett Pkwy Suite 170, Mariettta, GA 30269 | 2019-08-26 |
| 1740834092 | Shenitta Guyton | Psychologist | 619 Grecken Grn, Peachtree City, GA 30269 | 2019-07-25 |
| 1063971463 | Sarah Elizabeth Epps | Speech-Language Pathologist | 156 Peachtree East #149, Peachtree City, GA 30269 | 2019-03-15 |
| 1689139362 | Resiliency Behavioral Health Services LLC | Counselor | 145 Govenors Square, Ste A, Fayetteville, GA 30269 | 2019-02-06 |
| 1790256931 | Change of Life Companion Homecare LLC | Nurse Anesthetist, Certified Registered | 401 Topaz Trail, Peachtree City, Fayetteville, GA 30269 | 2018-12-16 |
| 1447753686 | Kelli M Shelton | Counselor | 145 A Governor's Sq., Peachtree City, GA 30269 | 2018-03-14 |
| Find all providers in zip 30269 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740652148 | Ptcec PC | Optometrist | 100 N Peachtree Pkwy Ste 1, Peachtree City, GA 30269-1744 | 2015-10-24 |
| 1114369444 | Anchita S Dalal | Optometrist | 2735 Highway 54, Peachtree City, GA 30269 | 2013-07-29 |
| 1144474941 | Kimberly Sue Anderson | Optometrist | 407 City Cir, Ste 1600, Peachtree City, GA 30269-3125 | 2008-11-06 |
| 1063599959 | David Arlington Johnson | Optometrist | 301b Petrol Pt, Peachtree City, GA 30269-1552 | 2006-11-01 |
| 1255364774 | Kathy Ann Samuels | Optometrist | 1201 N Peachtree Pkwy, Peachtree City, GA 30269-1743 | 2006-07-08 |
| 1487645982 | Scott Alan Bowser | Optometrist | 100 N Peachtree Pkwy, Peachtree City Eye Center Suite 1, Peachtree City, GA 30269-1744 | 2005-11-02 |
| 1750768073 | Eyexam of Peachtree City PC | Optometrist | 407 City Cir, Ste 1600, Peachtree City, GA 30269-3125 | 2015-05-06 |
| 1063817229 | Smith Eye Associates, LLC | Optometrist | 407 City Cir, Suite 1600, Peachtree City, GA 30269-3125 | 2014-10-30 |
| 1699022046 | Newnan Eye Care LLC | Optometrist | 1201 N Peachtree Pkwy, Peachtree City, GA 30269-1743 | 2012-08-04 |
| 1043586118 | Richard C Lipovac Od PC | Optometrist | 2717 Highway 54, Peachtree City, GA 30269-1031 | 2012-03-22 |
| Find all providers in PEACHTREE CITY | ||||
| City | PEACHTREE CITY |
| Zip Code | 30269 |
Please comment or provide details below to improve the information on DR. JOHN L HENAHAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.