Individual provider Active NPI

Trenton Chandler Bateman, OD

  • Optometrist
  • Milledgeville, GA
National Provider Identifier
1174372114
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT003591 Issued in GA
Practice address
111 Fieldstone Dr Ste 100
Milledgeville, GA 31061-7108
Phone
(478) 453-9333
NPI assigned
May 14, 2024
Last updated
Jun 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT003591 GA Primary

Addresses

Primary practice location

111 Fieldstone Dr Ste 100
Milledgeville, GA 31061-7108

Mailing address

111 Fieldstone Dr Ste 100
Milledgeville, GA 31061-7108

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240917002551 GA Practitioner - Optometry 8820539968 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

111 Fieldstone Dr
Suite 100
Milledgeville, GA 31061-7108
Phone (478) 453-9333

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Eyecare Associates of Milledgeville, PC Optometrist CurrentSince Jul 14, 2024 Accepting new patients
Family Eyecare Associates of Milledgeville, PC CurrentSince Jul 14, 2024 Accepting new patients
Milan Eye LLC Past Accepting new patients

Locations

111 Fieldstone Dr
Ste 100
Milledgeville, GA 31061
Phone (478) 453-9333

Interoperability endpoints

  • Direct secure messaging: tbateman2936198@carolinashealthcaresystem.direct-ci.com

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": "1715644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1174372114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 FIELDSTONE DR STE 100",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310617108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 FIELDSTONE DR STE 100",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310617108",
            "telephone_number": "478-453-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATEMAN",
        "first_name": "TRENTON",
        "middle_name": "CHANDLER",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-14",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milledgeville, GA

Sources for this page

Verify at the official NPI Registry.