Dr Haley Penrod, OD | |
131 Upper Riverdale Rd Sw, Riverdale, GA 30274-2540 | |
(770) 994-9913 | |
Not Available |
Full Name | Dr Haley Penrod |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 131 Upper Riverdale Rd Sw, Riverdale, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922520501 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 3045 (Georgia) | Secondary |
152WV0400X | Optometrist - Vision Therapy | OPT003045 (Georgia) | Secondary |
152W00000X | Optometrist | 2428 (Arizona) | Primary |
Provider Name | Robert T Goetzinger Md Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1942498308 PECOS PAC ID: 2264423698 Enrollment ID: O20040524000233 |
Mailing Address | Practice Location Address |
---|---|
Dr Haley Penrod, OD 4056 Idlevale Dr, Tucker, GA 30084-7815 Ph: () - | Dr Haley Penrod, OD 131 Upper Riverdale Rd Sw, Riverdale, GA 30274-2540 Ph: (770) 994-9913 |
Niketha Ajodha, Optometrist Medicare: Medicare Enrolled Practice Location: 7050 Highway 85, Riverdale, GA 30274 Phone: 770-994-1670 | |
Bolt Eye Group - Riverdale, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 131 Upper Riverdale Rd Sw, Riverdale, GA 30274 Phone: 770-994-9913 | |
Came Home Seeing Optometrist Medicare: Not Enrolled in Medicare Practice Location: 7050 Highway 85, Riverdale, GA 30274 Phone: 470-693-8184 | |
Fred Osaretin Osayi, OD Optometrist Medicare: Medicare Enrolled Practice Location: 7583 Highway 85, Riverdale, GA 30274 Phone: 770-996-3495 |