| Dr Robert Keith Caudelle, OD | |
|
320 N Jeff Davis Drive, Suite A, Fayetteville, GA 30214 | |
| (770) 461-2633 | |
| (770) 461-5792 |
| Full Name | Dr Robert Keith Caudelle |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 42 Years |
| Location | 320 N Jeff Davis Drive, Fayetteville, 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 |
|---|---|---|---|
| 1750303434 | NPI | - | NPPES |
| 410004213 | Other | RAILROAD MEDICARE | |
| 0866550001 | Other | DMERC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1043 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Depoe Eye Center Pc | 8224927702 | 12 |
| Provider Name | Depoe Eye Center Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1073730263 PECOS PAC ID: 8224927702 Enrollment ID: O20040312000618 |
| Provider Name | Fayette Eye Center Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1881871226 PECOS PAC ID: 7416077250 Enrollment ID: O20120312000785 |
| Provider Name | Caudelle & Wilson Eye Care Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1831514538 PECOS PAC ID: 6406157841 Enrollment ID: O20151209001180 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Robert Keith Caudelle, OD 320 N Jeff Davis Drive, Suite A, Fayetteville, GA 30214 Ph: (770) 461-2633 | Dr Robert Keith Caudelle, OD 320 N Jeff Davis Drive, Suite A, Fayetteville, GA 30214 Ph: (770) 461-2633 |
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 | |
Mrs. Malique Roxanne Payne, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 125 Pavilion Pkwy, Fayetteville, GA 30214 Phone: 770-460-7894 Fax: 770-719-4392 |