DR. JOHN L HENAHAN (OD) – Optometrist, NPI 1730170788

DR. JOHN L HENAHAN (OD) is a healthcare provider. based in Peachtree city, Georgia. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OPT001788 (GA). The NPI Number for DR. JOHN L HENAHAN (OD) is 1730170788

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN L HENAHAN (OD)
NPI
1730170788
Phone
(770) 487-0667
Address
361 HIGHWAY 74 N
Enumeration Date
31 October 2005
Last Update Date
1 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7704870667
Graduation Year
1991 (35 years ago)
PAC ID
0749359669
Group Practice PAC ID
7911076831
Professional Enrollment ID
I20080519000576
Address ID
GA302690000PE361XXNXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

959 OPTOMETRY in GA

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Provider Addresses for DR. JOHN L HENAHAN (OD)

  • Highway 54 West, Towson Village, Shake Rag, Peachtree City, Fayette County, Georgia, 30269, United States

    PEACHTREE CITY, GA 302691102

    Phone: (770) 487-0667

    Fax: (770) 487-0947

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $431.

Total Amount is formed as General ($431) + Research ($0) + Ownership ($0) = $431.

Last reported payment date: 2024-08-30 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($202).

Total Amount

$431

General + Research + Ownership

Payments

10

Total payment records

General Amount

$431

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-30

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-05-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080519000576IOptometryGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92250Photography of the retina319305$0
92014Established patient complete exam of visual system273260$0
99213Established patient office or other outpatient visit, 20-29 minutes8962$0
92133Imaging of optic nerve8063$0
92083Exam of visual field with extended testing7155$0
View full utilization report →

Insurance plans in this area (ZIP 30269)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7911076831View full group profile
NameSpecialtyState
O P T O M E T R YGA

Reviews

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Frequently asked questions

What federal number belongs to DR. JOHN L HENAHAN (OD)?
The federal identifier for DR. JOHN L HENAHAN (OD) is NPI 1730170788.
Is DR. JOHN L HENAHAN (OD) active in the national directory?
DR. JOHN L HENAHAN (OD)'s public NPI profile is in an active state.
What field does DR. JOHN L HENAHAN (OD) work in?
You can think of DR. JOHN L HENAHAN (OD) as practicing within Optometrist. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. JOHN L HENAHAN (OD)?
The page summarizes Peachtree City, Georgia for DR. JOHN L HENAHAN (OD); expand the address list for detail.
How can I contact DR. JOHN L HENAHAN (OD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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