CHARLES G. MCKELVEYIII, O.D., P.C (NPI# 1770733958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770733958 |
| Entity Type | Organization |
| Organization Name | CHARLES G. MCKELVEYIII, O.D., P.C |
| Other Organization Name | TOTAL EYECARE CENTER |
| Practice Address |
3379 Highway 5 Ste G Douglasville GA 30135-2377 |
| Practice Telephone | 7709423111 |
| Practice Fax Number | 7709423779 |
| Mailing Telephone | 7709423111 |
| Mailing Fax Number | 7709423779 |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2008-09-24 |
| Authorized Official Name | DR. CHARLES GLENN MCKELVEY III (OWNER) |
| Authorized Official Telephone | 7709423111 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPT000910 | GA | Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| TOTAL EYECARE CENTER | Doing Business As Name - Organization |
| Street Address |
3379 HIGHWAY 5 STE G |
| City | DOUGLASVILLE |
| State | GA |
| Zip Code | 30135-2377 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265043301 | Heart & Soul Wellness Solutions LLC | Social Worker | 4752 Pepper Tree Lane, Douglasville, GA 30135 | 2020-08-12 |
| 1477176923 | R & J Health Care | Clinic/Center | 6853b Douglas Blvd Ste B, Douglasville, GA 30135 | 2020-05-19 |
| 1003479411 | The Sister Circle of Love and Empowerment LLC | Clinic/Center | 4706 Boyer Glen Dr., Douglasville, GA 30135 | 2019-04-22 |
| 1457825358 | Marcia Ann-marie Wilson | Nurse Practitioner | 4279 Caroline Court, Douglasville, GA 30135 | 2019-01-14 |
| 1225564917 | Danielle Doebereiner-brown | Nurse Practitioner | 3872 Ga-5, Douglasville, GA 30135 | 2017-05-02 |
| 1851832430 | Jennifer Williams | Physical Therapist | 4999 Presley Mill Rd, Douglasville, GA 30135 | 2017-03-15 |
| 1316484686 | Geneva Brent | Licensed Practical Nurse | 2109 Fairburn Road, Douglasville, GA 30135 | 2017-01-25 |
| 1659816288 | Stephanie Walthour | Marriage & Family Therapist | 3400 Chapel Hill Rd Ste 317, Douglasville, GA 30135 | 2017-01-05 |
| 1770932105 | Solutions 2 Wellness and Recovery,llc | Social Worker | 2256 Greenwood Meadows Lane, Douglasville, GA 30135 | 2016-06-07 |
| 1326408378 | Sr & L Transport Services, LLC | Non-emergency Medical Transport (VAN) | 4841 Black Bear Trail, Douglasville, GA 30135 | 2016-03-03 |
| Find all providers in zip 30135 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437756459 | Atl Optical LLC | Optometrist | 9380 The Landing Dr Ste B, Douglasville, GA 30135-7177 | 2020-10-02 |
| 1902334998 | Sarah Louise Vrotsos | Optometrist | 2866 Chapel Hill Rd, Douglasville, GA 30135-7140 | 2017-06-02 |
| 1790186211 | Alisa Kourtney Nicholson | Optometrist | 6700 Douglas Blvd Ste 1270, Douglasville, GA 30135 | 2014-09-16 |
| 1396020087 | Premier Geriatric Eyecare Incorporated | Optometrist | 7147 Avalon Dr, Douglasville, GA 30135-5626 | 2011-10-13 |
| 1174786214 | Sheila Gowdy Od PC | Optometrist | 9412 Parkwood Avenue, Douglasville, GA 30135 | 2008-07-09 |
| 1134343494 | Yuchong Smith Inc. | Optometrist | 6580 Douglas Blvd, Douglasville, GA 30135-1507 | 2007-04-11 |
| 1124151907 | Edward H Pottlitzer Od PC | Optometrist | 2911 Chapel Hill Rd, Suite 210, Douglasville, GA 30135 | 2007-03-13 |
| 1689723496 | Steven T Boyles | Optometrist | 9488 Highway 5, Douglasville, GA 30135-1566 | 2007-01-09 |
| 1013079375 | Marietta Eye Clinic, Pa | Optometrist | 8841 Hospital Dr, Douglasville, GA 30134 | 2006-12-14 |
| 1932276649 | Michael E. Richards | Optometrist | 9395 The Landing Dr, H-200, Douglasville, GA 30135-7137 | 2006-11-29 |
| Find all providers in DOUGLASVILLE | ||||
| City | DOUGLASVILLE |
| Zip Code | 30135 |
Please comment or provide details below to improve the information on CHARLES G. MCKELVEYIII, O.D., P.C.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.