Individual provider Active NPI

Calvin D Dalton II, O.D.

  • Optometrist
  • Cleveland, GA
National Provider Identifier
1831205509
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT002170 Issued in GA
Practice address
1801 Highway 129 S
Cleveland, GA 30528-7180
Phone
(706) 219-4444
Fax
(706) 219-1010
NPI assigned
Aug 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT002170 GA Primary
Corneal and Contact Management Optometrist 152WC0802X OPT002170 GA

Addresses

Primary practice location

1801 Highway 129 S
Cleveland, GA 30528-7180

Mailing address

1801 Highway 129 S
Cleveland, GA 30528-7180
Phone (706) 219-4444

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
I20050729000232 GA Practitioner - Optometry 8022046564 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dalton Family Eyecare, Inc.Group PAC ID 2466476270, 11 clinicians

Practice addresses (Care Compare)

1801 Hwy 129 S
Cleveland, GA 30528-7180

Dahlonega Medical Mall 134 Ansley Dr
Suite 300
Dahlonega, GA 30533
Phone (706) 219-4444

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT002170GAMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dalton Family Eyecare, Inc. Optometrist CurrentSince Oct 1, 2005 Accepting new patients
Dalton Eyecare Professionals, PC Optometrist Past Accepting new patients

Locations

1801 Highway 129 S
Cleveland, GA 30528
Phone (706) 219-4444

262 S Main St
Cleveland, GA 30528
Phone (706) 219-4444

134 Ansley Dr
Ste 300
Dahlonega, GA 30533
Phone (706) 219-4444

1105 Morningside Dr
Perry, GA 31069
Phone (478) 987-2020

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1831205509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 HIGHWAY 129 S",
            "city": "CLEVELAND",
            "state": "GA",
            "postal_code": "305287180",
            "telephone_number": "706-219-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 HIGHWAY 129 S",
            "city": "CLEVELAND",
            "state": "GA",
            "postal_code": "305287180",
            "telephone_number": "706-219-4444",
            "fax_number": "706-219-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALTON",
        "first_name": "CALVIN",
        "middle_name": "D",
        "name_suffix": "II",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002170",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "GA",
            "license": "OPT002170",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, GA

Sources for this page

Verify at the official NPI Registry.