MEDICARE: DR. KAYDEE WILLCOX BUTLER OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	OPC6047	FL
2	152W00000X	Optometrist	S-E55-TA-C04	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1619588068
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KAYDEE WILLCOX BUTLER OD

Provider Business Mailing Address
First Line	:	1950 OLD GALLOWS RD STE 520
Second Line	:
City	:	VIENNA
State	:	VA
Zip	:	22182-3970
Country	:	US
Telephone Number	:	703-847-8899
Fax Number	:	571-223-6780

Provider Business Practice Location Address
First Line	:	700 7TH ST S
Second Line	:
City	:	CLANTON
State	:	AL
Zip	:	35045-3778
Country	:	US
Telephone Number	:	205-280-0034
Fax Number	:	205-664-1578

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/10/2020
Last Update Date	:	06/12/2026

Similar Medicare Providers

1568564169 — CECIL D PAVEY
Practice Location Address:

700 7TH ST S
CLANTON, AL
35045-3778

Practice Phone: 205-280-0064
Practice Fax: 205-280-0030

1154720571 — MATTHEW J. MCCAIN DMD, LLC
Practice Location Address:

700 7TH ST S , SUITE 300
CLANTON, AL
35045-3778

Practice Phone: 205-960-0640
Practice Fax:

1417422528 — MYEYEDR OPTOMETRY OF ALABAMA LLC
Practice Location Address:

700 7TH ST S
CLANTON, AL
35045-3778

Practice Phone: 205-280-0034
Practice Fax:

1902732498 — SHAYLA HAMILTON JOHNSON
Practice Location Address:

674 OLLIE AVE
CLANTON, AL
35045-2246

Practice Phone: 205-280-1100
Practice Fax: 205-280-1575

1437672557 — WALGREEN CO
Practice Location Address:

641 OLLIE AVE
CLANTON, AL
35045-2236

Practice Phone: 205-755-5879
Practice Fax: 205-280-6975

1588660070 — MRS. SHIRLEY S BALLARD OT
Practice Location Address:

110 BAKER AVE
CLANTON, AL
35045-2337

Practice Phone: 205-280-6450
Practice Fax: 205-280-6451

Directions to “ DR. KAYDEE WILLCOX BUTLER OD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.