| Depoe Eye Center Pc | |
|
300 N Main St, Suite 301, Jonesboro, GA 30236-3296 | |
| (770) 603-0063 | |
| Not Available |
| Full Name | Depoe Eye Center Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 300 N Main St, Jonesboro, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073730263 | NPI | - | NPPES |
| 000493149B | Medicaid | GA | |
| 90932 | Medicaid | GA | |
| 000493149A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPT001305 (Georgia) | Primary |
| Provider Name | Adam T Depoe |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1891892709 PECOS PAC ID: 5092604587 Enrollment ID: I20040315000084 |
| Provider Name | Laura C Depoe |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1154410918 PECOS PAC ID: 2163311655 Enrollment ID: I20040315000181 |
| Provider Name | Jack B Brumberg |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821022443 PECOS PAC ID: 9739142712 Enrollment ID: I20041110000733 |
| Provider Name | Seth E Murphy |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1497725196 PECOS PAC ID: 7012923956 Enrollment ID: I20060302000408 |
| Provider Name | John W Baldwin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1740373026 PECOS PAC ID: 1658459938 Enrollment ID: I20080428000360 |
| Provider Name | Robert W Eichhammer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1528009586 PECOS PAC ID: 1355406760 Enrollment ID: I20090219000215 |
| Provider Name | Robert Caudelle |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1750303434 PECOS PAC ID: 7719091560 Enrollment ID: I20120216000258 |
| Provider Name | Steven K Taylor |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235299736 PECOS PAC ID: 8729204110 Enrollment ID: I20140721000878 |
| Provider Name | Pamela Denise Earls |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1396229340 PECOS PAC ID: 6406196567 Enrollment ID: I20190327002745 |
| Provider Name | Laura A Kahn |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1790166767 PECOS PAC ID: 8325353535 Enrollment ID: I20200824003231 |
| Provider Name | Kira Elise Winston |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1639791502 PECOS PAC ID: 0042639965 Enrollment ID: I20200927000041 |
| Provider Name | Alina Paige Wheeler |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1952688129 PECOS PAC ID: 7416369780 Enrollment ID: I20201209003108 |
| Provider Name | John Mark Seacat |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1780766139 PECOS PAC ID: 4880616572 Enrollment ID: I20211029000167 |
| Provider Name | Madison Barnes |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1558030221 PECOS PAC ID: 5698167732 Enrollment ID: I20220121000962 |
| Provider Name | Brenda Flores Schizas |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356710776 PECOS PAC ID: 4486923828 Enrollment ID: I20220627001906 |
| Provider Name | David Kyung Ho Cho |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1225763832 PECOS PAC ID: 2769867258 Enrollment ID: I20220920001410 |
| Provider Name | Aditi Srikanth Bellur |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1265168132 PECOS PAC ID: 5991163289 Enrollment ID: I20230619000945 |
| Provider Name | Meret Thomas-huebner |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1437774486 PECOS PAC ID: 0547682627 Enrollment ID: I20230823004223 |
| Mailing Address | Practice Location Address |
|---|---|
| Depoe Eye Center Pc 550 Eagles Landing Pkwy, Suite 208, Stockbridge, GA 30281-9081 Ph: (770) 474-1237 | Depoe Eye Center Pc 300 N Main St, Suite 301, Jonesboro, GA 30236-3296 Ph: (770) 603-0063 |
Dr. Shantise Mccall Story, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2400 Mt. Zion Parkway, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236 Phone: 205-781-5995 | |
Robert W. Mccullough, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 137 W Mill St, Jonesboro, GA 30236 Phone: 770-471-5037 | |
Mr. Blair John Lamey, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2400 Mount Zion Pkwy, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236 Phone: 423-899-2905 Fax: 423-894-3261 | |
Dr. Robert W. Mccullough Optometrist Medicare: Medicare Enrolled Practice Location: 137 W Mill St, Jonesboro, GA 30236 Phone: 770-471-5037 | |
The Eyes Have It, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 6525 Tara Blvd, Suite 134, Jonesboro, GA 30236 Phone: 678-369-8676 Fax: 678-369-8676 | |
Ms. Terri Lynne Norris, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2400 Mount Zion Pkwy, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236 Phone: 205-940-9000 |