| Dr Jacob Daniel Deweese, OD | |
|
2200 Roswell Rd Ste 160, Marietta, GA 30062-2984 | |
| (770) 565-6200 | |
| Not Available |
| Full Name | Dr Jacob Daniel Deweese |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 2200 Roswell Rd Ste 160, Marietta, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699437129 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPT003376 (Georgia) | Primary |
| Provider Name | Clarkson Optometry Georgia Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1184802670 PECOS PAC ID: 5193732949 Enrollment ID: O20060320000335 |
| Provider Name | Family First Vision Care Georgia |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1649881236 PECOS PAC ID: 3173934981 Enrollment ID: O20201201000312 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jacob Daniel Deweese, OD 3699 Lenox Rd Ne Apt G47, Atlanta, GA 30305-3489 Ph: (317) 607-8930 | Dr Jacob Daniel Deweese, OD 2200 Roswell Rd Ste 160, Marietta, GA 30062-2984 Ph: (770) 565-6200 |
Star Optometry Ga Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1750 Powder Springs Rd Sw Ste 210, Marietta, GA 30064 Phone: 770-436-9123 | |
Nicole L Mardak, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1545 Powers Ferry Rd Se, Suite 240, Marietta, GA 30067 Phone: 770-952-6412 Fax: 770-953-2738 | |
Mr. Stuart R Tasman, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1545 Powers Ferry Rd Se Ste 240, Marietta, GA 30067 Phone: 770-952-6412 Fax: 678-369-7212 | |
Northside Eye Partners, Pc Optometrist Medicare: Medicare Enrolled Practice Location: 2230 Roswell Rd, Suite 100, Marietta, GA 30062 Phone: 678-903-2579 Fax: 678-903-2583 | |
Jessica Quynh Dinh, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 895 Canton Rd Ne Bldg 100, Marietta, GA 30060 Phone: 770-427-8111 Fax: 770-427-6913 | |
Dr. Scott Busey Holcomb, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3625 Dallas Hwy Sw, Ste 660, Marietta, GA 30064 Phone: 770-590-8951 Fax: 770-590-8135 | |
Gray W Sass, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1545 Powers Ferry Rd Se, Ste 240, Marietta, GA 30067 Phone: 770-952-6412 Fax: 770-953-2738 |