| Kelly Heren, OD | |
|
279 N Broad St Ste C, Winder, GA 30680-2589 | |
| (770) 867-2505 | |
| Not Available |
| Full Name | Kelly Heren |
|---|---|
| Gender | Female |
| Speciality | Optometry |
| Experience | 9 Years |
| Location | 279 N Broad St Ste C, Winder, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740630466 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPC 5211 (Florida) | Secondary |
| 152W00000X | Optometrist | OPT003284 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Winder Eye Care Center | 1153312871 | 4 |
| Premier Vision Partners | 1850789553 | 4 |
| Provider Name | Eye 1st Holdings Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1699830091 PECOS PAC ID: 8729074380 Enrollment ID: O20040421000587 |
| Provider Name | Winder Eye Care Center |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1154349041 PECOS PAC ID: 1153312871 Enrollment ID: O20040521000074 |
| Provider Name | Map Eyes Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1750654141 PECOS PAC ID: 2062679624 Enrollment ID: O20120209000190 |
| Provider Name | Premier Vision Partners |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1376213165 PECOS PAC ID: 1850789553 Enrollment ID: O20211029001277 |
| Provider Name | Ga Doctors Of Optometry Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1174105936 PECOS PAC ID: 7719375419 Enrollment ID: O20211221000300 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Heren, OD 3535 Roswell Rd Ste 8, Marietta, GA 30062-8827 Ph: (678) 560-8065 | Kelly Heren, OD 279 N Broad St Ste C, Winder, GA 30680-2589 Ph: (770) 867-2505 |
Winder Eye Care Center Optometrist Medicare: Medicare Enrolled Practice Location: 279 N Broad St, Suite C, Winder, GA 30680 Phone: 770-867-2505 Fax: 770-867-8668 | |
Dr. Pamela S Gewirtz, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 440 Atlanta Hwy, Winder, GA 30024 Phone: 770-868-5992 Fax: 770-868-1466 | |
Dr. John Christy Snyder, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 135 N Broad St, Winder, GA 30680 Phone: 678-425-9415 Fax: 678-425-9417 | |
Dr. Karen M Canupp, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 90 Church St, Winder, GA 30680 Phone: 770-867-2505 Fax: 770-867-8668 | |
Dr. Darrell Allen Sorah Jr., OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 90 Church St, Winder, GA 30680 Phone: 770-867-2505 Fax: 770-867-8668 | |
Dr. Mark W Hall, OD Optometrist Medicare: Medicare Enrolled Practice Location: 90 Church St, Winder, GA 30680 Phone: 770-867-2505 Fax: 770-867-8668 |