Ashleigh Marie Sprouse, OD | |
1190 Grimes Bridge Rd, Roswell, GA 30075-3930 | |
(770) 992-7620 | |
Not Available |
Full Name | Ashleigh Marie Sprouse |
---|---|
Gender | Female |
Speciality | Optometry |
Experience | 4 Years |
Location | 1190 Grimes Bridge Rd, Roswell, Georgia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467060517 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OPT003260 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Roswell Eye Clinic,inc | 7214119114 | 5 |
Provider Name | Roswell Eye Clinic,inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1104010594 PECOS PAC ID: 7214119114 Enrollment ID: O20110315000050 |
Mailing Address | Practice Location Address |
---|---|
Ashleigh Marie Sprouse, OD 5747 Riverside Dr, Sugar Hill, GA 30518-6368 Ph: (678) 595-2806 | Ashleigh Marie Sprouse, OD 1190 Grimes Bridge Rd, Roswell, GA 30075-3930 Ph: (770) 992-7620 |
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