Michael L Roberts (NPI# 1578654265, PAC ID# 4486544731) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
Nation Provider ID (NPI) | 1578654265 |
PAC ID by PECOS | 4486544731 |
Professional Enrollment ID | I20041118000677 |
Full Name | Michael L Roberts |
Organization Legal Name | LEGACY FAMILY EYECARE INC |
Address |
210 Hudson St Cumming GA 30040-2432 |
Phone Number | 7708879171 |
Gender | M |
Credential | OD |
Medical School | SOUTHERN COLLEGE OF OPTOMETRY |
Graduation Year | 2003 |
Primary Specialty | OPTOMETRY |
Group Practice PAC ID | 1153595012 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
210 Hudson St, Cumming, GA 30040-2432 | 7708879171 | LEGACY FAMILY EYECARE INC |
5900 Spout Springs Rd, Flowery Branch, GA 30542-6448 | 7709652401 | LEGACY FAMILY EYECARE INC |
Organization Legal Name | LEGACY FAMILY EYECARE INC |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Tiffany Luke | Optometry | Legacy Family Eyecare Inc | 210 Hudson St, Cumming, GA 30040-2432 |
Street Address |
210 HUDSON ST |
City | CUMMING |
State | GA |
Zip | 30040-2432 |
Name | Specialty | Organization | Address |
---|---|---|---|
Tiffany Luke | Optometry | Legacy Family Eyecare Inc | 210 Hudson St, Cumming, GA 30040-2432 |
Michael Shannon | Optometry | Shannon Eyecare PC | 210 Hudson St, Cumming, GA 30040-2432 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jeffrey Weber | Psychologist, Clinical | Focus Forward Counseling and Consulting, Inc | 5975 Pkwy N Blvd, Suite 300 D, Cumming, GA 30040 |
Christopher D Killingsworth | Plastic and Reconstructive Surgery | Northside Surgical Professional Services LLC | Atlanta Aesthetics, 4150 Deputy Bill Cantrall Memorial Road Suite 240, Cumming, GA 30040 |
Courtney Whitehead | Psychologist, Clinical | Focus Forward Counseling and Consulting, Inc | 5975 Pkwy N Blvd, Suite 300 D, Cumming, GA 30040 |
Gilberte Bastien | Psychologist, Clinical | Focus Forward Counseling and Consulting, Inc | 5975 Pkwy N Blvd, Suite 300 D, Cumming, GA 30040 |
Lindsey C Bustamante | Clinical Social Worker | Focus Forward Counseling and Consulting, Inc | 5975 Pkwy N Blvd, Suite 300 D, Cumming, GA 30040 |
Sondy Cadeau | Clinical Social Worker | Focus Forward Counseling and Consulting, Inc | 5975 Pkwy N Blvd, Suite 300 D, Cumming, GA 30040 |
Allyson Cole C Baker | Nurse Practitioner | Resurgens, PC | 4150 Deputy Bill Cantrell Memorial Rd, Suite 300, Cumming, GA 30040 |
Jessica L Styles | Nurse Practitioner | Resurgens, PC | 4150 Deputy Bill Cantrell Memorial Rd, Suite 300, Cumming, GA 30040 |
Christopher M Brooks | Psychologist, Clinical | Focus Forward Counseling and Consulting, Inc | 5975 Pkwy N Blvd, Suite 300 D, Cumming, GA 30040 |
Christopher Steven Blanchard | Orthopedic Surgery | Resurgens, PC | 4150 Deputy Bill Cantrell Memorial Rd, Suite 300, Cumming, GA 30040 |
Find all physicians in zip 30040 |
City | CUMMING |
Zip Code | 30040 |
Specialty | OPTOMETRY |
City + Specialty | CUMMING + 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.