Thomas Koepke, | |
10360 Medlock Bridge Rd, Duluth, GA 30097-5927 | |
(770) 476-1220 | |
Not Available |
Full Name | Thomas Koepke |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 9 Years |
Location | 10360 Medlock Bridge Rd, Duluth, Georgia |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598219784 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OPT003141 (Georgia) | Primary |
152W00000X | Optometrist | 8869T (Texas) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Johns Creek Eye Care, Llc | 2163850934 | 2 |
Provider Name | Johns Creek Eye Care, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1720559362 PECOS PAC ID: 2163850934 Enrollment ID: O20200310002847 |
Mailing Address | Practice Location Address |
---|---|
Thomas Koepke, 10360 Medlock Bridge Rd, Duluth, GA 30097-5927 Ph: (770) 476-1220 | Thomas Koepke, 10360 Medlock Bridge Rd, Duluth, GA 30097-5927 Ph: (770) 476-1220 |
Dr. Alexis Yu, Optometrist Medicare: Medicare Enrolled Practice Location: 2635 Pleasant Hill Rd, Duluth, GA 30096 Phone: 770-476-2164 | |
Christina T Phan, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2730 Peachtree Industrial Blvd Ste 206, Duluth, GA 30097 Phone: 404-721-3268 Fax: 404-475-4880 | |
Dr. Laila Mousavi Shah, Optometrist Medicare: Medicare Enrolled Practice Location: 2435 Commerce Ave Bldg 2200, Duluth, GA 30096 Phone: 858-472-6162 | |
Dr. Scott Roland Robirds, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 11460 Johns Creek Parkway, Duluth, GA 30097 Phone: 678-415-3830 Fax: 678-415-2683 | |
National Vision Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2435 Commerce Ave, Duluth, GA 30096 Phone: 770-822-3600 | |
Dr. Patrick L Flores, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3980 Venture Dr, Duluth, GA 30096 Phone: 770-622-3133 Fax: 770-622-8939 | |
Samantha Lee Claxton, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3820 Pleasant Hill Rd Ste 5, Duluth, GA 30096 Phone: 770-476-9585 |