| Mr Charles Isaac Newcomer, OD | |
|
150 Interstate South Drive Suite 200, Jasper, GA 30143 | |
| (678) 454-7329 | |
| (678) 454-7331 |
| Full Name | Mr Charles Isaac Newcomer |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 4 Years |
| Location | 150 Interstate South Drive Suite 200, Jasper, 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 |
|---|---|---|---|
| 1659943363 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPT003324 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Keller, Crymes, Demarco Llc | 3971591132 | 9 |
| Provider Name | Keller, Crymes & Demarco, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1467406983 PECOS PAC ID: 3971591132 Enrollment ID: O20040505000810 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Charles Isaac Newcomer, OD 150 Interstate South Drive Suite 200, Jasper, GA 30143 Ph: (678) 454-7329 | Mr Charles Isaac Newcomer, OD 150 Interstate South Drive Suite 200, Jasper, GA 30143 Ph: (678) 454-7329 |
Dr. Lauren Brooke Yancey, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 150 Interstate South Dr Ste 200, Jasper, GA 30143 Phone: 678-454-7329 Fax: 678-454-7331 | |
Rose A Darby, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 800 W Church St, Jasper, GA 30143 Phone: 706-692-7510 | |
Kenny Holloway Od Pc Optometrist Medicare: Medicare Enrolled Practice Location: 105 N Main St Ste 100, Jasper, GA 30143 Phone: 678-315-9446 | |
Pickens Eye Clinic Optometrist Medicare: Not Enrolled in Medicare Practice Location: 360 W Church St, Jasper, GA 30143 Phone: 706-692-2878 Fax: 706-692-2879 | |
Gilbert James Od Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 800 W Church St, Jasper, GA 30143 Phone: 706-692-7510 Fax: 706-692-7512 | |
Maria Bencsath, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 360 W Church St, Jasper, GA 30143 Phone: 706-692-2878 Fax: 706-692-2879 |