| Tj Roberts, Llc | |
|
539 Glynn St N, Fayetteville, GA 30214-1108 | |
| (678) 817-7722 | |
| (678) 817-0067 |
| Full Name | Tj Roberts, Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 539 Glynn St N, Fayetteville, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386200046 | NPI | - | NPPES |
| 003208256A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Terrence J Roberts |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1194157289 PECOS PAC ID: 2860613999 Enrollment ID: I20141015000161 |
| Mailing Address | Practice Location Address |
|---|---|
| Tj Roberts, Llc 524 Monarch Lake Way, Stockbridge, GA 30281-7795 Ph: (770) 256-6073 | Tj Roberts, Llc 539 Glynn St N, Fayetteville, GA 30214-1108 Ph: (678) 817-7722 |
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 | |
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 |