Active NPI
Stephen Cauley, O.D.
- Optometrist
- Statesboro, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT001630
- Practice address
- 1014 Northside Dr E
Statesboro, GA 30458-1002 - Phone
- (912) 764-9147
- Fax
- (912) 764-3250
- NPI assigned
- Apr 5, 2006
- Last updated
- Feb 15, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT001630 | GA | Primary |
Addresses
Primary practice location
1014 Northside Dr E
Statesboro, GA 30458-1002
Mailing address
1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone (703) 847-8899
Other practice location 1
1950 Old Gallows Rd
520
Vienna, VA 22182-3970
Phone (703) 847-8899
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT001630 | GA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of Georgia, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Georgia, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Georgia LLC | Optometrist | Current | Accepting new patients |
Locations
4875 Altama Ave
Brunswick, GA 31520
Phone (912) 554-0010
1014 Northside Dr E
Statesboro, GA 30458
Phone (912) 764-9147
1950 Old Gallows Rd
Ste 520
Vienna, VA 22182
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518652800000",
"number": "1124080080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1950 OLD GALLOWS RD STE 520",
"city": "VIENNA",
"state": "VA",
"postal_code": "221823970",
"telephone_number": "703-847-8899",
"fax_number": "866-795-4020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1014 NORTHSIDE DR E",
"city": "STATESBORO",
"state": "GA",
"postal_code": "304581002",
"telephone_number": "912-764-9147",
"fax_number": "912-764-3250"
}
],
"practiceLocations": [
{
"address_1": "1950 Old Gallows Rd",
"address_2": "520",
"address_purpose": "LOCATION",
"city": "Vienna",
"state": "VA",
"postal_code": "221823970",
"country_code": "US",
"telephone_number": "703-847-8899",
"fax_number": "703-991-0514",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAULEY",
"first_name": "STEPHEN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-05",
"last_updated": "2018-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "OPT001630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Statesboro, GA
- Cardiovascular Associates of Eastern Georgia
- Thomas Carico, MD
- Carolina Surgical Oncology, PC
- Breanna Morris Carter, M.ED. LPC NCC
- Elyse Bridget Casher, MSW, LCSW
- Cedar Surgical Associates, PC
- Cesar Clinic, LLC (East Georgia Gastroenterology Center)
- Emily Champion, OD
- Cullen Brooke Chance, SLP
- Evan L Chance, SERVICE COORDINATOR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.