P Praxis·MD
● Active Type 1 · Individual

DR. Robert Keith Caudelle, OD

Optometrist·Fayetteville, GA· NPI 1750303434 · Enumerated 2006 · 19 years on NPI
Caudelle is 1 of 15 optometrist providers in Fayetteville and 1 of 2375 in Georgia.
NPI age
19 years
Enumerated 2006-07-24
Primary specialty
Optometrist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2011-12-29
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 2375 active optometrist providers in Georgia.

NPI age
19 years
↑ 3 yr above median (16 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
15% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-07Enumerated in NPPES
2006 2026

Where they practice

Practice location
320 N Jeff Davis Drive, Suite A
Fayetteville, GA 30214
📞 7704612633fax 7704615792
Mailing address
320 N Jeff Davis Drive, Suite A
Fayetteville, GA 30214
📞 7704612633fax 7704615792

Specialties

  • Optometrist Primary
    Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as...
    GA license #1043 taxonomy 152W00000X

Identifiers

TypeValueNotes
01 410004213 RAILROAD MEDICARE
01 0866550001 DMERC

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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