| Dr Kenyatta D Brantley, OD | |
|
3339 Highway 34 E, Sharpsburg, GA 30277-3564 | |
| (770) 304-2025 | |
| Not Available |
| Full Name | Dr Kenyatta D Brantley |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 30 Years |
| Location | 3339 Highway 34 E, Sharpsburg, 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 |
|---|---|---|---|
| 1205907565 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPT003563 (Georgia) | Primary |
| 152WC0802X | Optometrist - Corneal And Contact Management | OPT003563 (Georgia) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Depoe Eye Center Pc | 8224927702 | 12 |
| Provider Name | Thomas Eye Group Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1548271992 PECOS PAC ID: 2567455868 Enrollment ID: O20040405000273 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kenyatta D Brantley, OD 15933 Clayton Rd Ste 210, Ballwin, MO 63011-2172 Ph: (636) 200-4393 | Dr Kenyatta D Brantley, OD 3339 Highway 34 E, Sharpsburg, GA 30277-3564 Ph: (770) 304-2025 |
Dr. Tara Donovan, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 310 Fischer Rd, Sharpsburg, GA 30277 Phone: 770-304-8613 | |
Tara Donovan Od Pc Optometrist Medicare: Medicare Enrolled Practice Location: 310 Fischer Rd, Sharpsburg, GA 30277 Phone: 770-304-8613 | |
Bennie Dean Mobley, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 3999 Hwy 34 East, Sharpsburg, GA 30277 Phone: 770-304-2025 Fax: 678-854-9941 | |
Williamson Eye Professionals P.c. Optometrist Medicare: Medicare Enrolled Practice Location: 40 Fischer Crossings Dr, Sharpsburg, GA 30277 Phone: 678-621-8609 | |
Mobley Eye Care Of Sharpsburg Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3339 Highway 34 E, Sharpsburg, GA 30277 Phone: 770-304-2025 |