Fabius Clements IV, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2891 Issued in GA

Practice address

3455 Peachtree Industrial Blvd
Suite 845
Duluth, GA 30096-6501

Phone

(770) 476-3606

NPI assigned

Aug 25, 2015

Last updated

Mar 25, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ga Doctors of Optometry LLC

  • Optometrist
  • Lithonia, GA
  • NPI 1174105936
  Medicare reassignment NPD
• Myeyedr Optometry of Georgia, LLC

  dba MyEyeDr.

  • Optometrist
  • Rincon, GA
  • NPI 1437294592
  Medicare reassignment NPD
• Ga Doctors of Optometry LLC

  • Eyewear Supplier
  • Columbus, GA
  • NPI 1013599745

  Optometrist

  NPD
• Myeyedr Optometry of Georgia, LLC

  dba MyEyeDr.

  • Optometrist
  • Tyrone, GA
  • NPI 1275326571
  NPD
• Myeyedr. Optometry of Georgia, LLC

  dba MyEyeDr.

  • Optometrist
  • Roswell, GA
  • NPI 1861145955
  NPD
• Gwinnett Eye Clinic

  • Optometrist
  • Duluth, GA
  • NPI 1619093531
  NPD (past)
• Myeyedr Optometry of Georgia, LLC

  • Optometrist
  • Duluth, GA
  • NPI 1417867672
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1440460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648166400000",
    "number": "1790152858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3455 PEACHTREE INDUSTRIAL BLVD",
            "address_2": "SUITE 845",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300966501",
            "telephone_number": "770-476-3606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 PEACHTREE INDUSTRIAL BLVD",
            "address_2": "SUITE 845",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300966501",
            "telephone_number": "770-476-3606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1570 Old Alabama Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "GA",
            "postal_code": "300762108",
            "country_code": "US",
            "telephone_number": "770-557-0039",
            "fax_number": "678-623-3108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLEMENTS",
        "first_name": "FABIUS",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-25",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "2891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Lee Claxton, OD
• Clayton R. Davis, D.M.D., P.C.
• Amber Clayton
• Dennis J Clayton, PAC
• Clement Ayanbadejo LLC (macley family practice and walk in clinic)
• Kayla Cleveland, MS, BCBA
• Clinica Santa Fe
• Coast to Coast Sleep PC
• Coast to Coast Sleep PC
• Coastal Home Care, LLC

• Optometrist in Duluth, GA
• Providers in Duluth, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; 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.

Verify at the official NPI Registry.