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Dr. Adelphy Payero , OD

Optometrist β€’ Pooler, GA

Active NPI 1831906569 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

105 Grand Central Blvd Ste 110
Pooler, GA 313224148

Call 9124509200 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

105 Grand Central Blvd Ste 110

Pooler, GA 313224148

Telephone 9124509200
Fax 9124509201
Organization at the Same NPPES Address or Phone
Myeyedr Optometry Of Georgia, Llc Facility NPI 1760883904

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Myeyedr Optometry Of Georgia, Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2024

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

Years since graduation

2 years (graduated 2024)

CMS Doctors and Clinicians data list 2024 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Payero has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Payero as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Pooler and Georgia

11 active clinicians are listed under Optometrist with a practice address in Pooler, GA (1,432 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Pooler

0% of these 11 clinicians have the CMS telehealth indicator.

54.5% of these 11 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-04-29
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

License # reported to NPPES GA OPT003699

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 identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Optometrist

NUCC Taxonomy Code: 152W00000X

License # reported to NPPES FL OPC6918

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 identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - OPTOMETRY

Medicare Enrollment ID

I20251210003135

Enrollment State Jurisdiction

GA

PECOS Control ID

4789178427

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Myeyedr Optometry Of Georgia, Llc

4875 Altama Ave, Brunswick, GA 315202912

Phone: 9125540010

Myeyedr Optometry Of Georgia, Llc

105 Grand Central Blvd, Pooler, GA 313224148

Phone: 9124509200

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
NPI 1710047329

Doctor of Optometry

NPI 1215375480

Doctor of Optometry

NPI 1497001382

Doctor of Optometry

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location November 04, 2025

Registered at 105 GRAND CENTRAL BLVD STE 110, POOLER, GA 313224148 (Tel: 9124509200)

πŸ“
Updated Business Mailing Address November 04, 2025

Registered at 8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 221822442 (Tel: 7038478899)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 04, 2025

Optometrist (license number reported to NPPES: GA OPT003699)

βœ…
NPI Profile Active December 16, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 16, 2024

Registered at 7400 MERTON MINTER ST, SAN ANTONIO, TX 782294404 (Tel: 2109498900)

πŸ“
Business Mailing Address (Initial Record) December 16, 2024

Registered at 13000 VISTA DEL NORTE APT 1213, SAN ANTONIO, TX 782168072

πŸ‘€
Provider Name / Credentials (Initial Record) December 16, 2024

Recorded as ADELPHY PAYERO, OD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 16, 2024

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration December 16, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1831906569
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 16, 2024
Last Update: April 29, 2026
Sole Proprietor: Yes

Other Optometrists in Pooler

All Optometrists in Pooler

Mailing Address

8614 Westwood Center Dr Fl 9

Vienna, VA 221822442

Phone: 7038478899

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.