| Dr William R Shockley, OD | |
|
47 Jefferson St, Newnan, GA 30263-1948 | |
| (770) 254-0200 | |
| (770) 254-1281 |
| Full Name | Dr William R Shockley |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 47 Jefferson St, Newnan, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700905999 | NPI | - | NPPES |
| 0786430001 | Other | GA | DURABLE MEDICAL EQUIPMENT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | T964 (Georgia) | Primary |
| Provider Name | Side Eye Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1881224681 PECOS PAC ID: 4183046733 Enrollment ID: O20200626002290 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr William R Shockley, OD 47 Jefferson St, Newnan, GA 30263-1948 Ph: (770) 254-0200 | Dr William R Shockley, OD 47 Jefferson St, Newnan, GA 30263-1948 Ph: (770) 254-0200 |
The Atlanta Cornea Care Center - Dr. Kenyatta Brantley, Optometrist (p Optometrist Medicare: Not Enrolled in Medicare Practice Location: 37 Calumet Parkway Bldg G Suite 101, Attention: Dr. Ken Brantley, Newnan, GA 30263 Phone: 229-800-4712 | |
Amber Carissa Flynn, Optometrist Medicare: Medicare Enrolled Practice Location: 2700 Ga-34, Bldg 300, Newnan, GA 30265 Phone: 678-423-7700 | |
Amy Jeffries, O.d., P.c. Optometrist Medicare: Medicare Enrolled Practice Location: 185 Glenda Trce Ste A, Newnan, GA 30265 Phone: 770-252-1999 Fax: 770-502-1071 | |
Coweta Eye Associates, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 15 Ruth Dr, Suite C, Newnan, GA 30265 Phone: 770-683-2733 | |
Dr. Kenyatta D. Brantley, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 37 Calumet Parkway Bldg G Suite 101, Attention: Dr. Ken Brantley, Newnan, GA 30263 Phone: 229-800-4712 | |
Dr. Amy Rebecca Jeffries, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3150 Highway 34 E Ste 306, Newnan, GA 30265 Phone: 770-252-1999 | |
Dr. Adriana Escobar, O.D Optometrist Medicare: Medicare Enrolled Practice Location: 324 Newnan Crossing Byp, Newnan, GA 30265 Phone: 678-423-3927 |