MEDICARE: CANDACE HINES KOTEI O.D.

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	OPT002774	GA

General Provider Information

NPI Number	:	1639511223
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CANDACE HINES KOTEI O.D.

Provider Business Mailing Address
First Line	:	180 JACKSON ST NE
Second Line	:	APT 6115
City	:	ATLANTA
State	:	GA
Zip	:	30312-1303
Country	:	US
Telephone Number	:	260-241-5617
Fax Number	:

Provider Business Practice Location Address
First Line	:	4280 E WEST CONNECTOR SE
Second Line	:
City	:	SMYRNA
State	:	GA
Zip	:	30082-4804
Country	:	US
Telephone Number	:	770-435-4457
Fax Number	:

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

Provider Enumeration Date	:	07/23/2013
Last Update Date	:	07/23/2013

Similar Medicare Providers

1578401204 — STAR OPTOMETRY GA LLC
Practice Location Address:

4280 EAST WEST CONNECTOR SE
SMYRNA, GA
30082-4804

Practice Phone: 770-435-4457
Practice Fax:

1124199534 — SMYRNA EYE GROUP, P.C.
Practice Location Address:

4280 E WEST CONNECTOR SE
SMYRNA, GA
30082-4804

Practice Phone: 704-354-4577
Practice Fax: 770-435-4555

1912225731 — BARBARA KOLOZE O.D.
Practice Location Address:

4280 E WEST CONNECTOR SE , SMYRNA
SMYRNA, GA
30082-4804

Practice Phone: 770-435-4457
Practice Fax: 770-435-4555

1235443839 — DR. STEVEN D. BOWSER O.D.
Practice Location Address:

4280 E WEST CONNECTOR SE
SMYRNA, GA
30082-4804

Practice Phone: 770-435-4457
Practice Fax:

1649681420 — THOMAS EYE GROUP PC
Practice Location Address:

4280 E WEST CONNECTOR SE
SMYRNA, GA
30082-4804

Practice Phone: 770-435-4457
Practice Fax: 404-256-1981

1649790262 — DR. DEVIN RICHARD WIESECKEL OD
Practice Location Address:

4280 E WEST CONNECTOR SE
SMYRNA, GA
30082-4804

Practice Phone: 770-435-4457
Practice Fax: 770-435-4555

Directions to “ CANDACE HINES KOTEI O.D.” 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.