MEDICARE: MR. CLAVEAR KELLY LDO, ABOC, NCLEC

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	156FC0800X	Contact Lens Technician/Technologist
2	156FC0801X	Contact Lens Fitter
3	156FX1800X	Optician	LDO002174	GA

General Provider Information

NPI Number	:	1811662414
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. CLAVEAR KELLY LDO, ABOC, NCLEC

Provider Business Mailing Address
First Line	:	3277 EMBRY DOWNS CT
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30340-4472
Country	:	US
Telephone Number	:	404-333-9500
Fax Number	:

Provider Business Practice Location Address
First Line	:	3277 EMBRY DOWNS CT
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30340-4472
Country	:	US
Telephone Number	:	404-333-9500
Fax Number	:

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

Provider Enumeration Date	:	08/16/2021
Last Update Date	:	12/18/2023

Similar Medicare Providers

1962175281 — BESTCARE AMBULANCE LLC
Practice Location Address:

3688 CLEARVIEW AVE STE 130
ATLANTA, GA
30340-2142

Practice Phone: 470-418-4998
Practice Fax: 470-469-7635

1598743049 — MS. KATHERINE HANNAH NEUFELD MS, CCC-SLP
Practice Location Address:

3424 NORTHLAKE TRL
ATLANTA, GA
30340-4144

Practice Phone: 404-357-6963
Practice Fax:

1699733279 — ME AND MY NANNA, LLC
Practice Location Address:

5878 BUFORD HWY., , STE. 9
ATLANTA, GA
30340-1245

Practice Phone: 678-381-1540
Practice Fax: 877-496-4822

1952357873 — MOBILITY DESIGNS
Practice Location Address:

3715 NORTHCREST RD , SUITE 28
ATLANTA, GA
30340-3411

Practice Phone: 770-458-1329
Practice Fax: 770-457-3229

1154334266 — CUSTOM HEALTHCARE OF GEORGIA LLC
Practice Location Address:

3097 PRESIDENTIAL DR , SUITE F
ATLANTA, GA
30340-3914

Practice Phone: 770-220-1570
Practice Fax: 770-220-1571

1740395631 — KAISER FOUNDATION HEALTH PLAN OF GEORGIA, INC.
Practice Location Address:

4000 DEKALB TEC PKWY , STE 320
ATLANTA, GA
30340-2761

Practice Phone: 770-220-3787
Practice Fax: 770-220-3796

Directions to “ MR. CLAVEAR KELLY LDO, ABOC, NCLEC” 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.