Carl Watson Tate (NPI# 1467567149, PAC ID# 0143251330) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
Nation Provider ID (NPI) | 1467567149 |
PAC ID by PECOS | 0143251330 |
Professional Enrollment ID | I20140521002461 |
Full Name | Carl Watson Tate |
Organization Legal Name | MYEYEDR OPTOMETRY OF GEORGIA, LLC |
Address |
4521 17th Ave Columbus GA 31904-6344 |
Phone Number | 7066600191 |
Gender | M |
Credential | OD |
Medical School | OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY |
Graduation Year | 2004 |
Primary Specialty | OPTOMETRY |
Group Practice PAC ID | 8224261201 |
Number of Group Practice Members | 71 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
4521 17th Ave, Columbus, GA 31904-6344 | 7066600191 | MYEYEDR OPTOMETRY OF GEORGIA, LLC |
Organization Legal Name | MYEYEDR OPTOMETRY OF GEORGIA, LLC |
Physicians | 81 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kwon Jung Choe | Optometry | Myeyedr Optometry of Georgia, LLC | 3975 Old Milton Pkwy, Suite 2, Alpharetta, GA 30005-4467 |
Danny J Garcia | Optometry | Myeyedr Optometry of Georgia, LLC | 4521 17th Ave, Columbus, GA 31904-6344 |
Zachary Boeskool | Optometry | Myeyedr Optometry of Georgia, LLC | 2209 Memorial Dr, Waycross, GA 31501-0902 |
Katie Lynn Boeskool | Optometry | Myeyedr Optometry of Georgia, LLC | 2003 Commerce Dr, Kingsland, GA 31548-6767 |
Rafael A Gamba | Optometry | Myeyedr Optometry of Georgia, LLC | 5940 Roswell Rd, Atlanta, GA 30328-4908 |
Peggy S Achenbach | Optometry | Myeyedr Optometry of Georgia, LLC | 2215 Memorial Dr, Suite 25, Waycross, GA 31501-0987 |
Tsani R Watson | Optometry | Myeyedr Optometry of Georgia, LLC | 3155 Cobb Pkwy Se, Suite 110, Atlanta, GA 30339-5535 |
Robert Adam Young | Optometry | Myeyedr Optometry of Georgia, LLC | 9801 Hwy 92, Suite 100, Woodstock, GA 30188-6454 |
Romanda Basaly Basaly Demetrios | Optometry | Myeyedr Optometry of Georgia, LLC | 12924 Hwy 92, Suite 100, Woodstock, GA 30188-5193 |
Jarvis Dewayne Johnson | Optometry | Myeyedr Optometry of Georgia, LLC | 2485 N Columbia St, Milledgeville, GA 31061-5421 |
Street Address |
4521 17TH AVE |
City | COLUMBUS |
State | GA |
Zip | 31904-6344 |
Name | Specialty | Organization | Address |
---|---|---|---|
Danny J Garcia | Optometry | Myeyedr Optometry of Georgia, LLC | 4521 17th Ave, Columbus, GA 31904-6344 |
Name | Specialty | Organization | Address |
---|---|---|---|
Juan Ayerdi | Vascular Surgery | River City Vascular Specialists | 1920 Warmsprings Rd, Columbus, GA 31904 |
William H Paull | Dermatology | 400 Brookstone Ctr Pkwy, Suite 500, Columbus, GA 31904 | |
Fred M Burdette | Cardiac Surgery | River City Vascular Specialists | 1920 Warmsprings Rd, Columbus, GA 31904 |
Ketan C Dalsania | Podiatry | 7014 Bridgemill Dr, Columbus, GA 31904-1299 | |
Mallika Thiruppathi | Internal Medicine | East Alabama Endocrinology, P.C. | 1400 Bradley Lake Blvd, Columbus, GA 31904-1483 |
Lisa D Smith | Nurse Practitioner | East Alabama Endocrinology, P.C. | 1400 Bradley Lake Blvd, Columbus, GA 31904-1483 |
Sheila Parker Strickland | Nurse Practitioner | Chattahoochee Valley Family Medicine Inc | 7413 Whiteville Rd, Suite 700, Columbus, GA 31904-3230 |
Tania C Edwards | Family Medicine | Chattahoochee Valley Family Medicine Inc | 7413 Whiteville Rd, Suite 700, Columbus, GA 31904-3230 |
Jessi L Hale | Nurse Practitioner | Columbus Ambulatory Healthcare Services, Inc. | 6801 River Rd, Suite 101, Columbus, GA 31904-3353 |
Jamie Bonner Lewis | Nurse Practitioner | Columbus Ambulatory Healthcare Services, Inc. | 6801 River Rd, Suite 101, Columbus, GA 31904-3353 |
Find all physicians in zip 31904 |
City | COLUMBUS |
Zip Code | 31904 |
Specialty | OPTOMETRY |
City + Specialty | COLUMBUS + OPTOMETRY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.