Dr Robert Keith Caudelle, OD | |
320 N Jeff Davis Drive, Suite A, Fayetteville, GA 30214 | |
(770) 461-2633 | |
(770) 461-5792 |
Full Name | Dr Robert Keith Caudelle |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 40 Years |
Location | 320 N Jeff Davis Drive, Fayetteville, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750303434 | NPI | - | NPPES |
410004213 | Other | RAILROAD MEDICARE | |
0866550001 | Other | DMERC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1043 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Depoe Eye Center Pc | 8224927702 | 11 |
Provider Name | Depoe Eye Center Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1073730263 PECOS PAC ID: 8224927702 Enrollment ID: O20040312000618 |
Provider Name | Fayette Eye Center Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1881871226 PECOS PAC ID: 7416077250 Enrollment ID: O20120312000785 |
Provider Name | Caudelle & Wilson Eye Care Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1831514538 PECOS PAC ID: 6406157841 Enrollment ID: O20151209001180 |
Mailing Address | Practice Location Address |
---|---|
Dr Robert Keith Caudelle, OD 320 N Jeff Davis Drive, Suite A, Fayetteville, GA 30214 Ph: (770) 461-2633 | Dr Robert Keith Caudelle, OD 320 N Jeff Davis Drive, Suite A, Fayetteville, GA 30214 Ph: (770) 461-2633 |
Dr. Thomas Matthew Brown, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 840 Glynn St S, Suite 344, Fayetteville, GA 30214 Phone: 770-716-7414 Fax: 770-716-7498 | |
Dr. Terrence Jawaan Roberts, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 539 Glynn St N, Fayetteville, GA 30214 Phone: 678-817-7722 Fax: 678-817-0067 | |
Crystal Clear Optique Optometrist Medicare: Not Enrolled in Medicare Practice Location: 840 Glynn St S Ste 344, Fayetteville, GA 30214 Phone: 770-716-7414 Fax: 770-716-7498 | |
Dr. Thomas A Lezaj, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 160 Pavilion Pkwy, Fayetteville, GA 30214 Phone: 770-716-8432 Fax: 770-716-5386 | |
Tj Roberts, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 539 Glynn St N, Fayetteville, GA 30214 Phone: 678-817-7722 Fax: 678-817-0067 | |
Mobley Riverdale Eye Clinic Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 539 Glynn St N, Suite A, Fayetteville, GA 30214 Phone: 678-817-7722 Fax: 678-817-0067 | |
Mrs. Malique Roxanne Payne, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 125 Pavilion Pkwy, Fayetteville, GA 30214 Phone: 770-460-7894 Fax: 770-719-4392 |