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DR. HALEY PENROD OD
NPI 1922520501
Optometrist in Riverdale, GA

Active since July 14, 2017PECOS Enrolled
131 UPPER RIVERDALE RD SW, RIVERDALE, GA 30274(770) 994-9913 Get Directions Write a Review

NPPES record last updated: October 6, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 6, 2020, Sep 15, 2020, Jul 16, 2017 (3 updates tracked since 2017).

About Dr. Haley Penrod Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. HALEY PENROD OD (NPI 1922520501) is an individual optometrist in Riverdale, Georgia, licensed in Arizona (2428) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922520501
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. HALEY PENRODCredential: OD
Location Address131 UPPER RIVERDALE RD SWRiverdale, GA 30274-2540
Mailing Address4056 Idlevale DrTucker, GA 30084-7815
Phone(770) 994-9913
Sole ProprietorNo
Enumeration DateJuly 14, 2017
Last NPPES UpdateOctober 6, 20203 updates tracked since enumeration
NPPES CertifiedOctober 6, 2020
✔ NPI 1922520501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in AZ · 2428✔ Licensed in GA · 3045
Definition
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.
Also ListedOptometrist · Vision TherapyTaxonomy 152WV0400X · License OPT003045 (GA)
131 UPPER RIVERDALE RD SW, Riverdale, GA 30274
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Other Names 1

Former Name (1)Haley Nguyen

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Haley Penrod Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30274 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BOLT EYE GROUP - RIVERDALE, LLC
Optometrist
131 UPPER RIVERDALE RD SW
RIVERDALE, GA 30274
Clayton County (770) 994-9913
ROBERT T GOETZINGER MD PC
Ophthalmology
131 UPPER RIVERDALE RD SW
RIVERDALE, GA 30274
Clayton County (770) 994-9913

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Haley Penrod's NPI number?

The NPI number for Haley Penrod is 1922520501. It was assigned to this individual provider in the NPPES registry on July 14, 2017. The provider is also known as Haley Nguyen.

Where is Haley Penrod located?

Haley Penrod practices at 131 Upper Riverdale Rd SW, Riverdale, GA 30274. The listed phone number is (770) 994-9913.

What is Haley Penrod's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Haley Penrod enrolled in Medicare?

Yes. Haley Penrod is registered in the Medicare PECOS enrollment system.

What insurance does Haley Penrod accept?

Health plans from Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Haley Penrod as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Haley Penrod was last updated on October 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.