P Praxis·MD
● Active Type 1 · Individual

DR. Haley Penrod, OD

Optometrist·Riverdale, GA· NPI 1922520501 · Enumerated 2017 · 8 years on NPI
Penrod is 1 of 5 optometrist providers in Riverdale and 1 of 2375 in Georgia.
NPI age
8 years
Enumerated 2017-07-14
Primary specialty
Optometrist
Plus 2 subspecialties
Licensed in
AZ, GA
2 states
Status
Active
No deactivations on record
Last NPPES update
2020-10-06
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 2375 active optometrist providers in Georgia.

NPI age
8 years
↓ 8 yr below median (16 yr)
State licenses
2 states
Top 90% — 9% of peers are multi-state
Subspecialties
1
In the 15% of peers with subspecialties

NPI lifetime · 2017 → 2026

2017-07Enumerated in NPPES
2017 2026

Where they practice

Practice location
131 Upper Riverdale Rd Sw
Riverdale, GA 302742540
📞 7709949913
Mailing address
4056 Idlevale Dr
Tucker, GA 300847815

Specialties

  • Optometrist Primary
    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...
    AZ license #2428GA license #3045 taxonomy 152W00000X
  • Optometrist
    Optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific...
    GA license #OPT003045 taxonomy 152WV0400X

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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