| Caudelle & Wilson Eye Care Llc | |
|
320 N Jeff Davis Drive, Suite A, Fayetteville, GA 30021 | |
| (770) 461-2144 | |
| (770) 461-5792 |
| Full Name | Caudelle & Wilson Eye Care Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 320 N Jeff Davis Drive, Fayetteville, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831514538 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | GA800 (Georgia) | Primary |
| Provider Name | Michael Wilson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1427073121 PECOS PAC ID: 7214041250 Enrollment ID: I20120105000343 |
| Provider Name | Robert Caudelle |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1750303434 PECOS PAC ID: 7719091560 Enrollment ID: I20120216000258 |
| Mailing Address | Practice Location Address |
|---|---|
| Caudelle & Wilson Eye Care Llc 320 N Jeff Davis Dr Ste A, Fayetteville, GA 30214-1669 Ph: (770) 461-2144 | Caudelle & Wilson Eye Care Llc 320 N Jeff Davis Drive, Suite A, Fayetteville, GA 30021 Ph: (770) 461-2144 |
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 | |
Michael Edward Wilson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 320 N Jeff Davis Drive, Suite A, Fayetteville, GA 30214 Phone: 770-461-2144 Fax: 770-461-5792 |