Look up the most recent NPI and PECOS records

Katelyn Wilma Lohman

Optometrist

Eye and Vision Services Providers

201 Kimberly Way Ste 106, Canton, GA 30114-8009

(678) 381-2020

PECOS Enrollment

This provider is enrolled in PECOS as KATELYN LOHMAN.

Based on the most recent information from CMS, provider Katelyn Wilma Lohman is legally eligible to order and refer claims for Part B, HHA and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 11 days ago.

Profile Details

Provider ID
1548619315
Provider Type
Individual
Full Name
Lohman, Katelyn Wilma
Title
Dr.
Credential
O.D.

Gender
Female
Sole Proprietor
Yes
Enumeration Date
6/12/2016
Last Updated
7/20/2020

Contact Information

Practice Location

201 Kimberly Way Ste 106, Canton, GA 30114-8009

(678) 381-2020

(678) 381-2015

Mailing Location

1300 Peachtree Industrial Blvd, Ste 1201, Suwanee, GA 30024-4550

(678) 381-2020

(678) 381-2015

Provider Taxonomies

Code	Description	License
Code 152W00000X Primary	Description Optometrist Eye and Vision Services Providers	License OPT002939 Georgia

Katelyn Wilma Lohman

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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